Individual provider Active NPI

Diane C. Sardanopoli, L.P.C.

  • Mental Health Counselor
  • Hawthorne, NJ
National Provider Identifier
1295035459
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00343200 Issued in NJ
Practice address
89 3Rd Ave
Hawthorne, NJ 07506-2413
Phone
(201) 873-6496
Fax
(201) 265-7641
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00343200 NJ Primary

Addresses

Primary practice location

89 3Rd Ave
Hawthorne, NJ 07506-2413

Mailing address

48 Grove St
Wanaque, NJ 07465-1921
Phone (201) 873-6496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00343200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1295035459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 GROVE ST",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651921",
            "telephone_number": "201-873-6496",
            "fax_number": "201-265-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 3RD AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062413",
            "telephone_number": "201-873-6496",
            "fax_number": "201-265-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDANOPOLI",
        "first_name": "DIANE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00343200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.