Cranbury Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

44SC04609600 Issued in NJ

Legal business name

CRANBURY THERAPY LLC

Practice address

70 S Main St
Suite 1C
Cranbury, NJ 08512-3140

Phone

(609) 655-0420

Fax

(609) 655-8721

NPI assigned

Oct 30, 2008

Last updated

May 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

S. Geoffrey White, LCSW

Title

President

Phone

(609) 655-0420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Stephen Geoffrey White, LCSW

  • Clinical Social Worker
  • Cranbury, NJ
  • NPI 1851593982
  Medicare reassignment NPD

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1073766341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "address_2": "70 SOUTH MAIN STREET, SUITE 1C",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085120155",
            "telephone_number": "609-655-0420",
            "fax_number": "609-655-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S MAIN ST",
            "address_2": "SUITE 1C",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123140",
            "telephone_number": "609-655-0420",
            "fax_number": "609-655-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBURY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-655-0420",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "44SC04609600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Cooper, PH.D.
• John James Coumbis, MD
• Cranbury First Aid Squad Inc
• Cranbury Healthcare Center, Inc. (The Elms of Cranbury)
• Cranbury SNF Operations LLC
• David Setton, LCSW, LLC
• Shilpa P Desai
• Kelly Destefano
• Dewi S. Sudjono-Santoso
• Robert Frank Dicuio, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cranbury, NJ
• Providers in Cranbury, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.