Organization Active NPI

Family Dynamics LLC

  • Counseling Psychologist
  • Ridgewood, NJ
National Provider Identifier
1508359829
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
FAMILY DYNAMICS LLC
Practice address
216 Dayton St Ste 3
Ridgewood, NJ 07450-4450
Phone
(201) 978-7585
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mrs. Kristen Kurth, LPCNPI 1609148923
Title
Owner/Therapist
Phone
(201) 873-7907

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
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

216 Dayton St Ste 3
Ridgewood, NJ 07450-4450

Mailing address

210 Gaynor PL
Glen Rock, NJ 07452-3644
Phone (201) 873-7907

Other identifiers 1

IdentifierTypeStateIssuer
1609148823OtherNJPROVIDER NPI

National Provider Directory

National Provider Directory

Locations

216 Dayton St
Ste 3
Ridgewood, NJ 07450
Phone (201) 759-0296

Practitioners & affiliated clinicians

Practitioners 2

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": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508359829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GAYNOR PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523644",
            "telephone_number": "201-873-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DAYTON ST STE 3",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504450",
            "telephone_number": "201-978-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KURTH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "201-873-7907",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1609148823",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.