Organization
VIVID WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAGGIO JR. LPC, LCADC (OWNER)
(551) 497-1964
Entity
Organization
Contact information
Practice address
415 LAUREL BROOK RD, MONTVALE, NJ 07645-1746
(551) 497-1964
Mailing address
415 LAUREL BROOK RD, MONTVALE, NJ 07645-1746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us