Sunrise Institute for Mental Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05160200 Issued in NJ

Legal business name

SUNRISE INSTITUTE FOR MENTAL HEALTH

Practice address

387 Neville St
Perth Amboy, NJ 08861-3108

Phone

(732) 324-8812

Fax

(732) 324-8809

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Koschil, PH.D

Title

Director

Phone

(732) 324-8812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1336200971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 NEVILLE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613108",
            "telephone_number": "732-324-8812",
            "fax_number": "732-324-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 NEVILLE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613108",
            "telephone_number": "732-324-8812",
            "fax_number": "732-324-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE INSTITUTE FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "KOSCHIL",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-324-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05160200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.