Pamela Kulisek

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00327000 Issued in NJ

Practice address

611 US Highway 46 W
Hasbrouck Heights, NJ 07604-3120

Phone

(201) 478-4162

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1174096366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 VALLEY HEALTH PLZ",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523607",
            "telephone_number": "201-265-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 US HIGHWAY 46 W",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043120",
            "telephone_number": "201-478-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULISEK",
        "first_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00327000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jr Supports
• Christine Kata, NP
• Eric Jacob Klipper, DMD
• Jennifer Koelln, LSW
• Stella Kopellas, P.T
• Peter Joseph Labarbera
• Pericles John Lantz, MD
• Lawrence M Bodenstein DMD
• Lenswear, Inc
• Marcia Levin, BCBA

• All providers in Hasbrouck Heights, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.