Organization Active NPI

Ovitz Psychotherapy Associates, LLC

  • Adult Mental Health Clinic/Center
  • Marlton, NJ
National Provider Identifier
1467979336
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
44SC04644000 Issued in NJ
Legal business name
OVITZ PSYCHOTHERAPY ASSOCIATES, LLC
Doing business as
Ovitz Psychotherapy Associates, LLC
Practice address
2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531
Phone
(917) 609-7056
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Kenneth David Ovitz, LCSWNPI 1902335144
Title
Owner/Manager
Phone
(917) 609-7056

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
Adult Mental Health Clinic/Center 261QM0850X 44SC04644000 NJ Primary

Addresses

Primary practice location

2001 Lincoln Dr W Ste a
Marlton, NJ 08053-1531

Mailing address

PO Box 4607
Cherry Hill, NJ 08034-4607
Phone (917) 609-7056

Other names 1

  • Ovitz Psychotherapy Associates, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1467979336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4607",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080344607",
            "telephone_number": "917-609-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LINCOLN DR W STE A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531531",
            "telephone_number": "917-609-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVITZ PSYCHOTHERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "OVITZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "917-609-7056",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "44SC04644000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovitz Psychotherapy Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.