Christina Ortiz Juguilon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05266600 Issued in NJ

Practice address

145 Main St
Revitalizing Psychiatry
Hackensack, NJ 07601-8107

Phone

(201) 488-5161

Fax

(201) 488-5162

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Christina Marie Ortiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center of Revitalizing Psychiatry, P.C.

  • Psychiatry Physician
  • Rochelle Park, NJ
  • NPI 1356497960
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1548285315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAIN ST",
            "address_2": "REVITALIZING PSYCHIATRY",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018107",
            "telephone_number": "201-488-5161",
            "fax_number": "201-488-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAIN ST",
            "address_2": "REVITALIZING PSYCHIATRY",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018107",
            "telephone_number": "201-488-5161",
            "fax_number": "201-488-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGUILON",
        "first_name": "CHRISTINA",
        "middle_name": "ORTIZ",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05266600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ORTIZ",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherrice Judd
• Amanda Marie Judge, DNP, CNM
• Christine Judge
• Judith C Gellrick, M.D., P.a.
• Alan Jue, D.M.D
• Edward Jung
• Erick Sangwun Jung, DDS
• Seung Won Jung, DDS
• Joel Justin
• Juvo Behavioral Health of Michigan LLC

• Clinical Social Worker in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.