Psychotherapy Associates of New Jersey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05461100 Issued in NJ

Legal business name

PSYCHOTHERAPY ASSOCIATES OF NEW JERSEY

Practice address

75 N Maple Ave
Suite 201
Ridgewood, NJ 07450-3247

Phone

(201) 580-1449

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Susan Gerstley, LCSWNPI 1407147796

Title

Owner

Phone

(201) 580-1449

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Dale Gerstley, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
  • NPI 1407147796
  NPD Authorized official

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1356701692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE",
            "address_2": "SUITE 201",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503247",
            "telephone_number": "201-580-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE",
            "address_2": "SUITE 201",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503247",
            "telephone_number": "201-580-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "GERSTLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-580-1449",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05461100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatry on Video LLC
• Psychodiagnostics
• Psychological & Neuropsychological Services LLC
• Psychological Group of Northern NJ PC
• Psychology Group of Northern New Jersey
• Psychotherapy Center of New Jersey
• Anthony Enrico Pucci, D.O.
• Edward A Pucci, D.O.
• Richard A Pucci, D.O.
• Eileen F Purcell, LCSW, MSW

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, 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 Feb 29, 2016; 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.