Organization Active NPI

Ashley Czesak Psychotherapy & Wellness LLC

  • Clinical Social Worker
  • Paramus, NJ
National Provider Identifier
1437855459
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ASHLEY CZESAK PSYCHOTHERAPY & WELLNESS LLC
Practice address
11-13 Sunflower Ave Ste 1040
Paramus, NJ 07652-3754
Phone
(201) 725-7852
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Ashley Czesak, LCSWNPI 1679963979
Title
Owner
Phone
(201) 725-7852

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11-13 Sunflower Ave Ste 1040
Paramus, NJ 07652-3754

Mailing address

2 Keller CT
Park Ridge, NJ 07656-1669
Phone (201) 725-7852

Other identifiers 2

IdentifierTypeStateIssuer
1679963979OtherNJBCBS
22099OtherHORIZON BLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

11-13 Sunflower Ave
Ste 1040
Paramus, NJ 07652
Phone (201) 725-7852

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1437855459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KELLER CT",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561669",
            "telephone_number": "201-725-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-13 SUNFLOWER AVE STE 1040",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523754",
            "telephone_number": "201-725-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY CZESAK PSYCHOTHERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "CZESAK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-725-7852",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1679963979",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS BLUE SHIELD",
            "identifier": "22099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.