Mentalwellnessmd LLC
Mentalwellnessmd LLC is a healthcare organization registered as Child & Adolescent Psychiatry Physician in Waldwick, NJ, holding Type 2 (organization) NPI 1629799614 since 2022. The authorized official on file is Kalliopi Nissirios, Owner/Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629799614 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mentalwellnessmd LLC |
| Practice address | 93 FRANKLIN TPKE STE 202, Waldwick, NJ, 07463 |
| Phone | 2019870909 |
| Enumeration date | 2022-09-07 |
| Last updated in NPPES | 2024-07-10 |
Authorized official
| Name | Kalliopi Nissirios |
|---|---|
| Title | Owner/Director |
| Phone | 2019870909 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | Primary | — | — |
Copy-ready billing details
Provider: Mentalwellnessmd LLC NPI: 1629799614 Taxonomy: 2084P0804X (Child & Adolescent Psychiatry Physician) Address: 93 FRANKLIN TPKE STE 202, Waldwick, NJ, 07463
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528214285 | Jessica Miglin | Individual | Psychiatric/Mental Health Nurse Practitioner | Waldwick, NJ |
| 1073927679 | Kalliopi Nissirios | Individual | Psychiatry Physician | Waldwick, NJ |
| 1114805777 | Inner Wellness & Health LLC | Organization | Psychiatric/Mental Health Nurse Practitioner | Waldwick, NJ |
Verify this record
Cross-check NPI 1629799614 against the authoritative CMS record: view Mentalwellnessmd LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Mentalwellnessmd LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-10.