Ariemini Psychology Group LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00426400 Issued in NJ

Legal business name

ARIEMINI PSYCHOLOGY GROUP LLC

Practice address

25 N Fullerton Ave
2ND FL
Montclair, NJ 07042-3435

Phone

(973) 610-1404

NPI assigned

Apr 24, 2016

Last updated

Apr 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Al-Malik Kenneth Jenkins, MA, LPC

Title

Ceo

Phone

(973) 610-1404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461456000000",
    "number": "1356796692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GLENRIDGE AVE",
            "address_2": "704",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426800",
            "telephone_number": "973-610-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N FULLERTON AVE",
            "address_2": "2ND FL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423435",
            "telephone_number": "973-610-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEMINI PSYCHOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "AL-MALIK",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-610-1404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00426400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.