Maria Elena Psychological

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05809000 Issued in NJ

Legal business name

MARIA ELENA PSYCHOLOGICAL

Practice address

967 Hamburg Tpke
Wayne, NJ 07470-3263

Phone

(973) 903-1109

NPI assigned

Nov 19, 2014

Last updated

Nov 19, 2014By 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

Maria Elena Misito-Kloss, LCSW

Title

Psychotherapist/Owner

Phone

(973) 903-1109

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.

• Janine Marie Martin, LCSW

  • Clinical Social Worker
  • Wayne, NJ
  • NPI 1487089025
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1447656475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703263",
            "telephone_number": "973-903-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703263",
            "telephone_number": "973-903-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ELENA PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "MISITO-KLOSS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "973-903-1109",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05809000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Maniaci, RDN
• Nicole Rose Maniaci I
• Marcia Laky PHD (Marcia Laky PhD Counseling Center)
• Guy E. Margolin, D.C.
• Mari Care LLC (BrightStar Care of Wayne and Fair Lawn)
• Marina Behavioral Health Care LLC
• Cameron Marino
• Mark E Maletsky, M.D. P.a.
• Markies Place Inc
• Martin Lawrence Marks, D.M.D.

• Social Worker in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.