Individual provider Active NPI

Amanda Glassman Schiller, LCSW

  • Community/Behavioral Health Agency
  • Livingston, NJ
National Provider Identifier
1548636657
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05588900 Issued in NJ
Practice address
570 W Mount Pleasant Ave
Suite 106
Livingston, NJ 07039-1688
Phone
(973) 765-9050
Fax
(973) 765-0195
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05588900 NJ Primary

Addresses

Primary practice location

570 W Mount Pleasant Ave
Suite 106
Livingston, NJ 07039-1688

Mailing address

11640 Gorham Ave Apt 17
Los Angeles, CA 90049-4727
Phone (609) 540-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05588900NJMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Metrowest Community/Behavioral Health PastSince May 14, 2001 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1548636657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 GORHAM AVE APT 17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494727",
            "telephone_number": "609-540-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W MOUNT PLEASANT AVE",
            "address_2": "SUITE 106",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391688",
            "telephone_number": "973-765-9050",
            "fax_number": "973-765-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "AMANDA",
        "middle_name": "GLASSMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05588900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.