On Eagle'S Wings Counseling and Consulting Services

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

25MA07843600 Issued in NJ

Legal business name

ON EAGLE'S WINGS COUNSELING AND CONSULTING SERVICES

Practice address

320 Raritan Ave
307-A
Highland Park, NJ 08904-2752

Phone

(732) 754-9049

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carla Hammond, MD

Title

MBR

Phone

(732) 754-9049

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.

• Ann Millison Reese, PHD, PSYD

  • Psychologist
  • Highland Park, NJ
  • NPI 1821137456
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1114246386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE",
            "address_2": "307-A",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE",
            "address_2": "307-A",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752",
            "telephone_number": "732-754-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON EAGLE'S WINGS COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "732-754-9049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "25MA07843600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cori Nunziata, LSW
• Christina O'Brien
• Tina M O'Sullivan, LSW
• Marybreen Oconnor, LCSW
• Omni Health Services
• Optimal Loading Physio LLC
• Judith Cohen Oshinsky, LCSW
• Polina Osmanoff, PA
• Caitlin Wescott Pacifico, M.A., CCC-SLP
• Devora Panish, PSY.D.

• Addiction Psychiatry Physician in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Addiction Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.