Active NPI
Hudson Psychotherapy and Copmlementary Practices, LLC
- Clinical Social Worker
- Guttenberg, NJ
National Provider Identifier
1235348376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jannet Molina-Manteiga, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.