Active NPI
Amanda Glassman Schiller, LCSW
- Community/Behavioral Health Agency
- Livingston, NJ
National Provider Identifier
1548636657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 44SC05588900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05588900 | NJ | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Metrowest | Community/Behavioral Health | Past | 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.
-
- Community/Behavioral Health Agency
- Florham Park, NJ
- NPI 1144381039
Community/Behavioral Health
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.