Island Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ISLAND THERAPY LLC

Practice address

803 New Rd FL 2
Somers Point, NJ 08244-1846

Phone

(856) 725-0076

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Anjennett R Corry, LCSWNPI 1629622154

Title

Owner

Phone

(856) 725-0076

Specialties & licenses 1

Addresses

Tax ID family

Island Therapy LLC2 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.

• Island Therapy LLC

  • Community/Behavioral Health Agency
  • Somers Point, NJ
  • NPI 1255922639
  NPD tax ID

Locations

Practitioners 4

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

• Anjennett Corry, LCSW

  • Clinical Social Worker
  • Somers Point, NJ
  • NPI 1629622154
  NPD Authorized official
• Ian Daniel Hargreaves, LSW

  • Social Worker
  • Somers Point, NJ
  • NPI 1669199444
  NPD
• Jillian Taylor, LCSW

  • Clinical Social Worker
  • Somers Point, NJ
  • NPI 1144893603
  NPD
• Solaida Santiago Ramos, LSW

  • Social Worker
  • Hammonton, NJ
  • NPI 1861228264
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1053005355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 NEW RD FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "856-725-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 NEW RD FL 2",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441846",
            "telephone_number": "856-725-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Pleasant St E",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080371723",
            "country_code": "US",
            "telephone_number": "609-415-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "CORRY",
        "authorized_official_first_name": "ANJENNETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-725-0076",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M. Innocente, LCSW
• Angela Insana
• Integrated Foot and Ankle Specialists of NJ LLC
• Intuitive Womens Health
• Monica Ying Xian Ip, PHARMD
• Island Therapy LLC
• Richard Barnard Islinger, M.D.
• Gene Iucci, D.O.
• J & S Treatment LLC
• Sujai Jalaj, M.D.

• All providers in Somers Point, NJ
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.