| Mentalwellnessmd Llc | |
|
93 Franklin Tpke Ste 202 Waldwick NJ 07463-1859 | |
| (201) 987-0909 | |
| Not Available |
| Full Name | Mentalwellnessmd Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 93 Franklin Tpke Ste 202, Waldwick, New Jersey |
| Authorized Official Name and Position | Kalliopi S Nissirios (OWNER/DIRECTOR) |
| Authorized Official Contact | 2019870909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentalwellnessmd Llc 93 Franklin Tpke Ste 202 Waldwick NJ 07463-1859 Ph: (201) 987-0909 | Mentalwellnessmd Llc 93 Franklin Tpke Ste 202 Waldwick NJ 07463-1859 Ph: (201) 987-0909 |
| NPI Number | 1629799614 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629799614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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