Active NPI
Simone Wohlberg
- Behavior Analyst
- Lakewood, NJ
National Provider Identifier
1144636655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-14758
- Practice address
- 58 Birch St
Lakewood, NJ 08701-4701 - Phone
- (732) 597-3487
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14758 | NJ | Primary |
Addresses
Primary practice location
58 Birch St
Lakewood, NJ 08701-4701
Mailing address
426 N Lake Dr Apt 1A1
Lakewood, NJ 08701-2569
Phone (718) 564-5575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1144636655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 N LAKE DR APT 1A1",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012569",
"telephone_number": "718-564-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BIRCH ST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014701",
"telephone_number": "732-597-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLBERG",
"first_name": "SIMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-13-14758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.