MENTALWELLNESSMD LLC
NPI 1629799614
Psychiatry & Neurology - Child & Adolescent Psychiatry in Waldwick, NJ

Active since September 07, 2022
93 FRANKLIN TPKE STE 202, WALDWICK, NJ 07463(201) 987-0909 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 10, 2024, Sep 7, 2022 (2 updates tracked since 2022).

About Mentalwellnessmd Llc NPPES

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

MENTALWELLNESSMD LLC (NPI 1629799614) is a healthcare organization registered as a child & adolescent psychiatry in Waldwick, New Jersey and active in the NPI registry since September 2022. The organization lists Kalliopi S Nissirios, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1629799614
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameMENTALWELLNESSMD LLC
Location Address93 FRANKLIN TPKE STE 202Waldwick, NJ 07463-1859
Mailing Address93 Franklin Tpke Ste 202Waldwick, NJ 07463-1859 · (201) 987-0909
Organization SubpartNo
Authorized OfficialKalliopi S NissiriosOwner/director · (201) 987-0909
Enumeration DateSeptember 7, 2022
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1629799614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
93 FRANKLIN TPKE STE 202, Waldwick, NJ 07463

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 3

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

Psychiatry & Neurology (Psychiatry)
93 FRANKLIN TPKE STE 202
WALDWICK, NJ 07463
Nurse Practitioner (Psychiatric/Mental Health)
93 FRANKLIN TPKE STE 202
WALDWICK, NJ 07463
Nurse Practitioner (Psychiatric/Mental Health)
93 FRANKLIN TPKE STE 202
WALDWICK, NJ 07463

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 Mentalwellnessmd LLC's NPI number?

The NPI number for Mentalwellnessmd LLC is 1629799614. It was assigned to this organization in the NPPES registry on September 7, 2022.

Where is Mentalwellnessmd LLC located?

Mentalwellnessmd LLC is located at 93 Franklin Tpke Ste 202, Waldwick, NJ 07463. The listed phone number is (201) 987-0909.

What is Mentalwellnessmd LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mentalwellnessmd LLC was last updated on July 10, 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.