Kpi Wellness
Psychologist in Florham Park, NJ. Organization (NPI-2).
NPI number1407697279
StatusActive
Last updated in NPPESJun 4, 2024
Details
- NPI
- 1407697279
- Entity type
- Organization (NPI-2)
- Legal business name
- Kpi Wellness
- Organization subpart
- No
- Enumeration date
- Jun 4, 2024
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Other names
- Kpi Wellness (Former Legal Business Name)
Practice location
123 Columbia Tpke Ste 201aFlorham Park, NJ 07932-2192
Phone 862-485-0328
Mailing address
123 Columbia Tpke Ste 201aFlorham Park, NJ 07932-2192
Phone 862-485-0328
Authorized official
Leigh Kolodny
Owner
8624850328
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