NPIMap

Organization Active NPI

M & S Psychotheraphy & Counseling Integrated LLC

  • Professional Counselor
  • Haledon, NJ
National Provider Identifier
1205081569
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00360100 Issued in NJ
Legal business name
M & S PSYCHOTHERAPHY & COUNSELING INTEGRATED LLC
Practice address
568 Preakness Ave
Haledon, NJ 07508-1048
Phone
(973) 862-9877
NPI assigned
Nov 28, 2008
Last updated
Nov 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Authorized official

Name
Dr. Azilde Sanchez, PHD
Title
Member
Phone
(973) 862-9877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00360100 NJ Primary

Addresses

Primary practice location

568 Preakness Ave
Haledon, NJ 07508-1048

Mailing address

568 Preakness Ave
Haledon, NJ 07508-1048
Phone (973) 862-9877

Other identifiers 1

IdentifierTypeStateIssuer
0162426MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
M S Psychotheraphy Counseling Integrated LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227830400000",
    "number": "1205081569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 PREAKNESS AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081048",
            "telephone_number": "973-862-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 PREAKNESS AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081048",
            "telephone_number": "973-862-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & S PSYCHOTHERAPHY & COUNSELING INTEGRATED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "AZILDE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-862-9877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00360100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162426",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.