Power in Play Therapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05683500 Issued in NJ

Legal business name

POWER IN PLAY THERAPY SERVICES LLC

Practice address

300 Plainfield Ave
Suite C
Edison, NJ 08817-3172

Phone

(973) 500-4030

NPI assigned

Dec 13, 2016

Last updated

Dec 13, 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. HB Bryant, MSW, LCSWNPI 1063869584

Title

Owner

Phone

(718) 787-7442

Specialties & licenses 1

Addresses

Locations

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.

• HB Bryant

  • Clinical Social Worker
  • Edison, NJ
  • NPI 1063869584
  NPD (past) Authorized official

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1356885123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602343",
            "telephone_number": "718-787-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAINFIELD AVE",
            "address_2": "SUITE C",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173172",
            "telephone_number": "973-500-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER IN PLAY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "HB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-787-7442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05683500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Edison, NJ
• Providers in Edison, 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 Dec 13, 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.