Organization Active NPI

Jacqueline Finch LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyckoff, NJ
National Provider Identifier
1043825326
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JACQUELINE FINCH LLC
Practice address
232 Madison Ave
Wyckoff, NJ 07481-1949
Phone
(201) 579-0603
NPI assigned
Sep 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Jacqueline Finch, LCSWNPI 1235671991
Title
Licensed Clinical Social Worker
Phone
(908) 917-8128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

232 Madison Ave
Wyckoff, NJ 07481-1949

Mailing address

678 Mountain Ave
Wyckoff, NJ 07481-1047
Phone (908) 917-8128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1043825326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 MOUNTAIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811047",
            "telephone_number": "908-917-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MADISON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811949",
            "telephone_number": "201-579-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE FINCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "908-917-8128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.