D20 Therapeutics

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

D20 THERAPEUTICS

Practice address

92 Church St
Montclair, NJ 07042-2713

Phone

(862) 621-9175

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By 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. Jacques MaitreNPI 1033609847

Title

Owner

Phone

(408) 516-6282

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Jacques F Maitre, LCSW

  • Clinical Social Worker
  • Bloomfield, NJ
  • NPI 1033609847
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1366137937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BERKELEY AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035725",
            "telephone_number": "408-516-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CHURCH ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422713",
            "telephone_number": "862-621-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D20 THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "MAITRE",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-516-6282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1033609847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Cuzzola, MOT
• Jakub Czaja, PT, DPT
• Desiree M. D'Agostino, CCC-SLP
• Julianne D'Amico
• D'Amore Russo Dental Design Studio Dr DDS
• Victoria Dabek, PT
• Kati Daghestani, APN
• Jamel Ali Mohammed Hamod Dahim, MD
• Kristin Elizabeth Dalphon, PHYSICIAN ASSISTANT
• Stephanie Damiano, LMSW

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, 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 Apr 10, 2023; 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.