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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.

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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?
The practice location on file with NPPES is in Waldwick, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-10.