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VIVID WELLNESS
NPI 1063272391
Clinic/Center - Mental Health (Including Community Mental Health Center) in Montvale, NJ

Active since March 21, 2024
415 LAUREL BROOK RD, MONTVALE, NJ 07645(551) 497-1964 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivid Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVID WELLNESS (NPI 1063272391) is a healthcare organization registered as a mental health (including community mental health center) in Montvale, New Jersey and active in the NPI registry since March 2024. The organization lists John Maggio, Owner, as its authorized official.

NPPES Registry Identity

NPI1063272391
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameVIVID WELLNESS
Location Address415 LAUREL BROOK RDMontvale, NJ 07645-1746
Mailing Address415 Laurel Brook RdMontvale, NJ 07645-1746
Phone(551) 497-1964
Organization SubpartNo
Authorized OfficialJohn MaggioOwner · (551) 497-1964
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1063272391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
415 LAUREL BROOK RD, Montvale, NJ 07645
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALKORB LLC.
Internal Medicine (Addiction Medicine)
415 LAUREL BROOK RD
MONTVALE, NJ 07645
Bergen County (551) 497-1964
MR. JOHN MAGGIO JR. MA, LCADC, LAC
Counselor (Addiction (Substance Use Disorder))
415 LAUREL BROOK RD
MONTVALE, NJ 07645
Bergen County (551) 497-1964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivid Wellness's NPI number?

The NPI number for Vivid Wellness is 1063272391. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Vivid Wellness located?

Vivid Wellness is located at 415 Laurel Brook Rd, Montvale, NJ 07645. The listed phone number is (551) 497-1964.

What is Vivid Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Vivid Wellness was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.