NPIMap

Organization Active NPI

Affiliates in Clinical Services

  • Group Psychotherapy Psychologist
  • Phillipsburg, NJ
National Provider Identifier
1295711778
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
AFFILIATES IN CLINICAL SERVICES
Practice address
305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone
(908) 454-7244
Fax
(908) 859-2109
NPI assigned
Dec 16, 2005
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mr. Michael K Ware, LPC, NCC-BCNPI 1750525358
Title
Owner/Director
Phone
(908) 454-7244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600

Mailing address

305 Roseberry St
Suite 8
Phillipsburg, NJ 08865-1600
Phone (908) 454-7244

Other identifiers 1

IdentifierTypeStateIssuer
552515000OtherNJMAGELLAN

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1295711778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ROSEBERRY ST",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651600",
            "telephone_number": "908-454-7244",
            "fax_number": "908-859-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ROSEBERRY ST",
            "address_2": "SUITE 8",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651600",
            "telephone_number": "908-454-7244",
            "fax_number": "908-859-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES IN CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "908-454-7244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC-BC"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "552515000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.