Flora Martins Degeorge

Primary specialty

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

Legal business name

FLORA MARTINS DEGEORGE

Practice address

Center for Psychotherapy
215 Ridgedale Av
Florham Park, NJ 07932-0793

Phone

(917) 535-4461

NPI assigned

Jun 5, 2020

Organization subpart

No

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

Authorized official

Name

Flora Martins Degeorge, LCSWNPI 1194947838

Title

Sole Proprietor

Phone

(917) 535-4461

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Flora Martins Degeorge, LCSW

  • Clinical Social Worker
  • Florham Park, NJ
  • NPI 1194947838
  NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1104440080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JAMES ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605945",
            "telephone_number": "917-535-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR PSYCHOTHERAPY",
            "address_2": "215 RIDGEDALE AV",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079320793",
            "telephone_number": "917-535-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORA MARTINS DEGEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "DEGEORGE",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "MARTINS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "917-535-4461",
        "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": []
}

• Emery Fisher, D.O.
• Rachel Myra Fitz, DO
• Keith A. Fleischman, D.O.
• Claire K Fleming, RD
• Elizabeth A Fleming, NP
• Florham Park Endoscopy ASC LLC
• Florham Park Memorial First Aid Squad Inc
• Florham Park Operator LLC
• Florham Park Operator LLC
• Florham Park Pediatrics

• Mental Health Clinic/Center (Including Community Mental Health Center) in Florham Park, NJ
• Providers in Florham Park, 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 Sep 18, 2020; 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.