Confidentialistener LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

37PC00469000 Issued in NJ

Legal business name

CONFIDENTIALISTENER LLC

Practice address

106 Straube Ctr Blvd Ste F112
Pennington, NJ 08534

Phone

(609) 837-9600

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Edith Marie Green, LICENSED PROFESSIONA

Title

Ceo/Psychotherapist

Phone

(609) 837-9600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1295216059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CTR BLVD STE F112",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-837-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 STRAUBE CTR BLVD STE F112",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-837-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIALISTENER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "609-837-9600",
        "authorized_official_credential": "LICENSED PROFESSIONA"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NJ",
            "license": "37PC00469000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Group Psychotherapy Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.