The Willow Tree Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000195 Issued in NJ

Legal business name

THE WILLOW TREE CENTER

Practice address

415 Speedwell Ave
Morris Plains, NJ 07950-2100

Phone

(973) 682-8733

Fax

(973) 682-8734

NPI assigned

Jun 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Berman, MA, LPC, LCADC

Title

Associate Director

Phone

(973) 682-8733

Specialties & licenses 1

Addresses

Tax ID family

The Willow Tree Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Willow Tree Center

  • Addiction (Substance Use Disorder) Counselor
  • Morris Plains, NJ
  • NPI 1396036042
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Willow Tree Center

  • Addiction (Substance Use Disorder) Counselor
  • Morris Plains, NJ
  • NPI 1396036042
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1033599493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502100",
            "telephone_number": "973-682-8733",
            "fax_number": "973-682-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502100",
            "telephone_number": "973-682-8733",
            "fax_number": "973-682-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILLOW TREE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "973-682-8733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The New Millennium Pharmacy, Inc
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• The Rose House, a New Jersey Non-Profit Corporation
• The Stop & Shop Supermarket Company LLC
• The Willow Tree Center
• Christina Chase Thompson, BCBA
• Ties to Tomorrow Care Managment
• Elyssa Tiongco-Dee
• Laurie Tortorelli, M.A., BCBA

• Substance Use Disorder Rehabilitation Clinic/Center in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.