Organization Active NPI

Metro Ny DBT Center

  • Clinical Social Worker
  • Florham Park, NJ
National Provider Identifier
1063874774
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJ44SC05613800 Issued in NJ
Legal business name
METRO NY DBT CENTER
Practice address
205 Ridgedale Ave
Suite 101
Florham Park, NJ 07932-1349
Phone
(212) 560-2437
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Carrie Diamond
Title
Supervising Psychologist
Phone
(212) 560-2437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X NJ44SC05613800 NJ Primary

Addresses

Primary practice location

205 Ridgedale Ave
Suite 101
Florham Park, NJ 07932-1349

Mailing address

205 Ridgedale Ave
Suite 101
Florham Park, NJ 07932-1349
Phone (212) 560-2437

National Provider Directory

National Provider Directory

Locations

205 Ridgedale Ave
Ste 101
Florham Park, NJ 07932
Phone (212) 560-2437

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1063874774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "address_2": "SUITE 101",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "212-560-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE",
            "address_2": "SUITE 101",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "212-560-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO NY DBT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "SUPERVISING PSYCHOLOGIST",
        "authorized_official_telephone_number": "212-560-2437"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJ44SC05613800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.