Active NPI
Amy Hiraldo, LCSW
- Mental Health Counselor
- Titusville, NJ
National Provider Identifier
1588317184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 44SC05465900
- Practice address
- 1212 River Rd
Titusville, NJ 08560-1601 - Phone
- (917) 566-5854
- NPI assigned
- Feb 2, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SC05465900 | NJ | Primary |
Addresses
Primary practice location
1212 River Rd
Titusville, NJ 08560-1601
Mailing address
1212 River Rd
Titusville, NJ 08560-1601
Phone (917) 566-5854
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 |
|---|---|---|---|
| 44SC05465900 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1588317184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 RIVER RD",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "085601601",
"telephone_number": "917-566-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 RIVER RD",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "085601601",
"telephone_number": "917-566-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRALDO",
"first_name": "AMY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SC05465900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Titusville, NJ
- Sathyamma David, RN
- Ann Marie Dorocki
- Peter George Dorson, PHARM.D.
- Andrew J Friedman, MD
- Jaime Marie Goyco, BCBA, LBA
- Hopewell Township Fire District 1 (Hopewell Valley Emergency Medical Services)
- Leonard Anthony Jokubaitis, M.D.
- Brigitte Kuperwasser, M.D.
- Stuart F Kushner, M.D.
- John Francis Kustrup Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.