Organization Active NPI

Your Time for Change

  • Clinical Social Worker
  • Toms River, NJ
National Provider Identifier
1316509573
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
YOUR TIME FOR CHANGE
Practice address
1035 Hooper Ave Ste 2a
Toms River, NJ 08753-8355
Phone
(732) 600-0489
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Robin Aniboli, LCSWNPI 1366976045
Title
Owner
Phone
(732) 600-0489

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1035 Hooper Ave Ste 2a
Toms River, NJ 08753-8355

Mailing address

2557 Holly Hill Rd
Manchester, NJ 08759-6201
Phone (732) 600-0489

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.psychologytoday.com/us/therapists/your-time-for-change-toms-river-nj/438892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827000092 NJ Part B Supplier - Clinic/Group Practice 5890023089 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1316509573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 HOLLY HILL RD",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087596201",
            "telephone_number": "732-600-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 HOOPER AVE STE 2A",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538355",
            "telephone_number": "732-600-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR TIME FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "ANIBOLI",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-600-0489",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/your-time-for-change-toms-river-nj/438892",
            "affiliation": "N",
            "address_1": "1035 Hooper Ave Ste 2A",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087538355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.