STANFORD ANGELS LLC
NPI 1770330730
Clinic/Center - Adult Mental Health in Rahway, NJ

Q: What is Stanford Angels Clear Mind And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since May 06, 2024

1600 SAINT GEORGES AVE STE 301, RAHWAY, NJ 07065(848) 336-0965(908) 248-0804 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, May 6, 2024 (2 updates tracked since 2024).

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About Stanford Angels Llc NPPES

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

STANFORD ANGELS LLC (NPI 1770330730) is a healthcare organization registered as an adult mental health in Rahway, New Jersey and active in the NPI registry since May 2024. The organization lists Catina Burkett, Social Work Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1770330730

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameSTANFORD ANGELS CLEAR MIND AND WELLNESS LLC

Location Address1600 SAINT GEORGES AVE STE 301Rahway, NJ 07065-2713

Mailing Address1600 Saint Georges Ave Ste 301Rahway, NJ 07065-2713 · (848) 336-0965 · Fax (908) 248-0804

Phone(848) 336-0965

Fax(908) 248-0804

Organization SubpartYesParent: Stanford Angels Llc

Authorized OfficialCatina BurkettSocial Work Clinical Supervisor · (201) 814-2759

Enumeration DateMay 6, 2024

Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1770330730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

1600 SAINT GEORGES AVE STE 301, Rahway, NJ 07065

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Other Names 1

Other NameStanford Angels Llc

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

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

JAIZ QUALITY HOME HEALTH CARE

Home Health

1600 SAINT GEORGES AVE STE 301
RAHWAY, NJ 07065

Union County (848) 336-0965

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 Stanford Angels Clear Mind And Wellness LLC's NPI number?

The NPI number for Stanford Angels Clear Mind And Wellness LLC is 1770330730. It was assigned to this organization in the NPPES registry on May 6, 2024. The provider is also known as Stanford Angels LLC.

Where is Stanford Angels Clear Mind And Wellness LLC located?

Stanford Angels Clear Mind And Wellness LLC is located at 1600 Saint Georges Ave Ste 301, Rahway, NJ 07065. The listed phone number is (848) 336-0965.

What is Stanford Angels Clear Mind And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Stanford Angels Clear Mind And Wellness LLC was last updated on August 20, 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.