NPIMap

Organization Active NPI

Packanack Counseling Center

  • Clinical Social Worker
  • Wayne, NJ
National Provider Identifier
1427355973
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00450800 Issued in NJ
Legal business name
PACKANACK COUNSELING CENTER
Doing business as
Packanack Counseling Center
Practice address
134 Chestnut Dr
Wayne, NJ 07470-5602
Phone
(973) 696-4016
Fax
(973) 696-4016
NPI assigned
Feb 18, 2011
Last updated
Feb 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Ms. Miriam Judith Toonkel, LCSWNPI 1518173103
Title
Licensed Clinical Social Worker
Phone
(973) 696-4016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC00450800 NJ Primary

Addresses

Primary practice location

134 Chestnut Dr
Wayne, NJ 07470-5602

Mailing address

134 Chestnut Dr
Wayne, NJ 07470-5602
Phone (973) 696-4016

Other names 1

  • Packanack Counseling Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1427355973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 CHESTNUT DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705602",
            "telephone_number": "973-696-4016",
            "fax_number": "973-696-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CHESTNUT DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705602",
            "telephone_number": "973-696-4016",
            "fax_number": "973-696-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKANACK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "TOONKEL",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "973-696-4016",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00450800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Packanack Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.