Organization Active NPI

Hudson Psychotherapy and Copmlementary Practices, LLC

  • Clinical Social Worker
  • Guttenberg, NJ
National Provider Identifier
1235348376
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HUDSON PSYCHOTHERAPY AND COPMLEMENTARY PRACTICES, LLC
Practice address
6811 Bergenline Ave
Guttenberg, NJ 07093-1807
Phone
(201) 861-6026
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jannet Molina-Manteiga, LCSWNPI 1770648008
Title
Owner
Phone
(201) 861-6026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6811 Bergenline Ave
Guttenberg, NJ 07093-1807

Mailing address

6811 Bergenline Ave
Guttenberg, NJ 07093-1807

National Provider Directory

National Provider Directory

Locations

6811 Bergenline Ave
West New York, NJ 07093
Phone (201) 861-6026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235348376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 BERGENLINE AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 BERGENLINE AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931807",
            "telephone_number": "201-861-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PSYCHOTHERAPY AND COPMLEMENTARY PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA-MANTEIGA",
        "authorized_official_first_name": "JANNET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-861-6026",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.