CENTER FOR MINDFUL CHANGE LLC NPI 1083891139

NPI Information

  • NPI: 1083891139
  • Provider Name: CENTER FOR MINDFUL CHANGE, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: KATHRYN A GRIFFITHS MSW,LCSW,BCD
  • Address: 550 W MAIN ST
    BOONTON, NJ
    ZIP 07005
  • Phone: (973) 257-5666

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NPI Details

CENTER FOR MINDFUL CHANGE, LLC is a mental health (including community mental health center) clinic center in Boonton, NJ. CENTER FOR MINDFUL CHANGE, LLC NPI is 1083891139. The provider is registered as an organization entity type.
The provider Is Doing Business As Kathryn A Griffiths Msw,lcsw,bcd.

The provider's business location address is:

550 W MAIN ST
BOONTON, NJ
ZIP 07005-168
Phone: (973) 257-5666

The provider's authorized official is Kathryn A Griffiths .
The authorized official title is Owner/manager and has the following contact phone number (973) 257-5666.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 5/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)44SC04309700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002749MEDICARE OSCAR/CERTIFICATIONNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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