Vivid Wellness
Clinic/Center, Mental Health (Including Community Mental Health Center) in Montvale, New Jersey
1063272391- Practice location
- 415 Laurel Brook RD, Montvale, NJ 07645-1746
- Phone
- 551-497-1964
- Fax
- —
- Last updated
- March 21, 2024
Vivid Wellness is a healthcare organization based in Montvale, NJ. Vivid Wellness practices in Montvale, NJ. The NPI Number for Vivid Wellness is 1063272391. The current practice location address for Vivid Wellness is 415 Laurel Brook RD, Montvale, NJ 07645-1746 and can be reached out via phone at 551-497-1964.
Provider Profile Details
- NPI Number
- 1063272391
- Provider Name
- Vivid Wellness
- Provider Entity Type
- Organization
- Address
- 415 Laurel Brook RD, Montvale, NJ 07645-1746
- Phone Number
- 551-497-1964
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mr. John Maggio, LPC, LCADC · Owner · 551-497-1964
- Provider Enumeration Date
- March 21, 2024
- Last Update Date
- March 21, 2024
- Certification Date
- March 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Laurel Brook RD
Montvale, NJ 07645-1746 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-1746
- Phone Number
- 551-497-1964
Provider Business Mailing Address Details
- Address
- 415 Laurel Brook RD
Montvale, NJ 07645-1746 - City
- Montvale
- State
- NJ
- Zip
- 07645-1746
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (4)
- Internal Medicine, Addiction Medicine · 207RA0401X
- Taxonomy (5)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- Taxonomy (6)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (7)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
- Taxonomy (8)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (9)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (10)
- Clinic/Center, Multi-Specialty · 261QM1300X
- Taxonomy (11)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vivid Wellness?
The NPI number of Vivid Wellness is 1063272391. It was assigned on March 21, 2024 and is currently active in the NPPES registry.
What is the specialty of Vivid Wellness?
Vivid Wellness is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Vivid Wellness practice?
The practice location is 415 Laurel Brook RD, Montvale, NJ 07645-1746. The office can be reached at 551-497-1964 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063272391 directly on the NPPES registry website.