Individual provider Active NPI

Antoinette Uzzalino, LPC

  • Mental Health Counselor
  • Teaneck, NJ
National Provider Identifier
1396106415
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00455200 Issued in NJ
Practice address
362 Cedar LN Ste 8
Teaneck, NJ 07666-3447
Phone
(201) 632-3062
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00170900 NJ
Mental Health Counselor 101YM0800X 37PC00455200 NJ Primary

Addresses

Primary practice location

362 Cedar LN Ste 8
Teaneck, NJ 07666-3447

Mailing address

36 Bergen Ave
Ridgefield Park, NJ 07660-1756
Phone (201) 264-0939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00170900NJMDAddiction (Substance Use Disorder) Counselor
37PC00455200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1396106415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BERGEN AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601756",
            "telephone_number": "201-264-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 CEDAR LN STE 8",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663447",
            "telephone_number": "201-632-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZZALINO",
        "first_name": "ANTOINETTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00170900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00455200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.