Healthcare Provider Details

I. General information

NPI: 1821925280
Provider Name (Legal Business Name): MINDY BETH SCHACHTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14-25 PLAZA RD STE 2-2
FAIR LAWN NJ
07410-3546
US

IV. Provider business mailing address

7-08 FAIRHAVEN PL
FAIR LAWN NJ
07410-1626
US

V. Phone/Fax

Practice location:
  • Phone: 201-417-6800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. MINDY BETH SCHACHTER
Title or Position: OWNER
Credential: PHD, LCSW
Phone: 201-417-6800