NPIMap

Organization Active NPI

Ms Integrated Psychotherapy and Counseling

  • Behavioral Neurology & Neuropsychiatry Physician
  • Totowa, NJ
National Provider Identifier
1457769705
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
25MA04143600 Issued in NJ
Legal business name
MS INTEGRATED PSYCHOTHERAPY AND COUNSELING
Practice address
555 Preakness Ave
Totowa, NJ 07502-1012
Phone
(973) 341-9869
Fax
(973) 942-6008
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Mr. Gabriel Montero
Title
Ceo
Phone
(973) 341-9869

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X 25MA04143600 NJ Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 25MA04143600 NJ
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0807X 26NJ00374300 NJ

Addresses

Primary practice location

555 Preakness Ave
Totowa, NJ 07502-1012

Mailing address

555 Preakness Ave
Totowa, NJ 07502-1012
Phone (973) 341-9869

National Provider Directory

National Provider Directory
Tax ID family
Ms Integrated Psychotherapy and Counseling5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1457769705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PREAKNESS AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075021012",
            "telephone_number": "973-341-9869",
            "fax_number": "973-942-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PREAKNESS AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075021012",
            "telephone_number": "973-341-9869",
            "fax_number": "973-942-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS INTEGRATED PSYCHOTHERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-341-9869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NJ",
            "license": "25MA04143600",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA04143600",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NJ00374300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.