Organization Active NPI

Jeremy Lichtman CBT

Doing business as Central Therapy NJ

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Highland Park, NJ
National Provider Identifier
1063106854
Registry record updated Jun 6, 2023
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
JEREMY LICHTMAN CBT
Doing business as
Central Therapy NJ
Practice address
258 S Adelaide Ave
Highland Park, NJ 08904-1654
Phone
(732) 743-8482
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Soryl Lichtman, LCSWNPI 1821540527
Title
Business Manager
Phone
(732) 743-8482

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

258 S Adelaide Ave
Highland Park, NJ 08904-1654

Mailing address

258 S Adelaide Ave
Highland Park, NJ 08904-1654

Other names 1

  • Central Therapy NJ Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1063106854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S ADELAIDE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S ADELAIDE AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041654",
            "telephone_number": "732-743-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY LICHTMAN CBT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "LICHTMAN",
        "authorized_official_first_name": "SORYL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "732-743-8482",
        "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": [
        {
            "organization_name": "Central Therapy NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.