Organization Active NPI

DB Therapy Associates LLC

  • Community/Behavioral Health Agency
  • Montclair, NJ
National Provider Identifier
1164839064
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37PC00363100 Issued in NJ
Legal business name
DB THERAPY ASSOCIATES LLC
Practice address
31 Trinity PL
Montclair, NJ 07042-2773
Phone
(201) 577-8470
NPI assigned
Jul 13, 2014
Last updated
Jul 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2014

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

Authorized official

Name
Mr. Kenneth Berger
Title
Ceo
Phone
(201) 970-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37PC00363100 NJ Primary

Addresses

Primary practice location

31 Trinity PL
Montclair, NJ 07042-2773

Mailing address

7 Randolph Ter
Fair Lawn, NJ 07410-3316
Phone (201) 970-5793

Other identifiers 3

IdentifierTypeStateIssuer
12266865OtherNJCAQH
4200088OtherNJCIGNA
600715191OtherNJMAGELLAN BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1164839064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RANDOLPH TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103316",
            "telephone_number": "201-970-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 TRINITY PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422773",
            "telephone_number": "201-577-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-13",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-970-5793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00363100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12266865",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4200088",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "600715191",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.