S and D Psychotherapy Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

S AND D PSYCHOTHERAPY ASSOCIATES, LLC

Practice address

85 Hopper Ave
Waldwick, NJ 07463-1517

Phone

(201) 803-2517

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dale F Fink, LCSW

Title

Partner

Phone

(201) 803-2517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1114950367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074630322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "201-803-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND D PSYCHOTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-803-2517",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Robertson, DC
• Alisa Robinson, PH.D.
• Irique Robinson, RN
• Shannon Marie Ross, FNP
• Devraj Roy, DPT
• Hany M Sadik, RPH
• Laila Salari, PHARMD
• Gabriela A Salas, APN
• Alyssa M. Samperi, M.A., CCC-SLP
• Kayla Elizabeth Samuel, PA

• All providers in Waldwick, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.