NPIMap

Organization Active NPI

Olive Branch Therapy Group

  • Community/Behavioral Health Agency
  • East Brunswick, NJ
National Provider Identifier
1104294446
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SL05679900 Issued in NJ
Legal business name
OLIVE BRANCH THERAPY GROUP
Practice address
63 Milltown Rd
East Brunswick, NJ 08816-2378
Phone
(732) 659-0683
NPI assigned
Sep 3, 2015
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Gul Noreen Iqbal, LCSWNPI 1528407285
Title
Owner/ Founder
Phone
(732) 890-1875

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
Community/Behavioral Health Agency 251S00000X 44SL05679900 NJ Primary

Addresses

Primary practice location

63 Milltown Rd
East Brunswick, NJ 08816-2378

Mailing address

63 Milltown Rd
East Brunswick, NJ 08816-2378

Other practice location 1

21 E High St
Somerville, NJ 08876-2320
Phone (732) 659-0683 ext. 500

National Provider Directory

National Provider Directory

Locations

63 Milltown Rd
East Brunswick, NJ 08816
Phone (732) 659-0683

986 Shoppes Blvd
Fl 2
North Brunswick, NJ 08902
Phone (732) 203-7011

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1104294446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MILLTOWN RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162378",
            "telephone_number": "732-659-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E High St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088762320",
            "country_code": "US",
            "telephone_number": "732-659-0683 x500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLIVE BRANCH THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "GUL NOREEN",
        "authorized_official_title_or_position": "OWNER/ FOUNDER",
        "authorized_official_telephone_number": "732-890-1875",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SL05679900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.