Organization Active NPI

Recovery and Discovery Psych Associates LLC

  • Clinical Social Worker
  • Somerset, NJ
National Provider Identifier
1104132026
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05321300 Issued in NJ
Legal business name
RECOVERY AND DISCOVERY PSYCH ASSOCIATES LLC
Practice address
100 Davidson Ave Ste 203
Somerset, NJ 08873-1312
Phone
(732) 213-1311
Fax
(732) 613-9192
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Mr. Thomas Etts, LCSW, LCADC
Title
Psychotherapist
Phone
(732) 213-1311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 37LC00101000 NJ
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 44SC05321300 NJ Primary

Addresses

Primary practice location

100 Davidson Ave Ste 203
Somerset, NJ 08873-1312

Mailing address

100 Davidson Ave, Suite 203
Somerset, NJ 08873
Phone (732) 213-1311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1104132026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DAVIDSON AVE, SUITE 203",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-213-1311",
            "fax_number": "732-613-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DAVIDSON AVE STE 203",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731312",
            "telephone_number": "732-213-1311",
            "fax_number": "732-613-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY AND DISCOVERY PSYCH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "ETTS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-213-1311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00101000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05321300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.