Organization Active NPI

Holding Space Therapy

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1477317337
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLDING SPACE THERAPY
Practice address
103 Park St Ste 1a
Montclair, NJ 07042-2935
Phone
(201) 500-7112
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Alein Haddad-Perez, LSCWNPI 1174007801
Title
Owner
Phone
(201) 500-7112

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

103 Park St Ste 1a
Montclair, NJ 07042-2935

Mailing address

103 Park St Ste 1a
Montclair, NJ 07042-2935

National Provider Directory

National Provider Directory

Locations

103 Park St
Ste 1A
Montclair, NJ 07042
Phone (201) 341-3804

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1477317337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARK ST STE 1A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK ST STE 1A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422935",
            "telephone_number": "201-500-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDING SPACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "HADDAD-PEREZ",
        "authorized_official_first_name": "ALEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-500-7112",
        "authorized_official_credential": "LSCW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.