Spectrum Care Management and Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPECTRUM CARE MANAGEMENT AND COUNSELING, LLC

Practice address

65 Ramapo Valley Rd
Mahwah, NJ 07430-1100

Phone

(973) 530-4155

Fax

(973) 273-4797

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Benedetta Versaci, LCSW

Title

Owner

Phone

(973) 530-4155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerard M Lagos, LCSW

  • Clinical Social Worker
  • North Haledon, NJ
  • NPI 1760676225
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1588960975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RAMAPO VALLEY RD STE 102",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301182",
            "telephone_number": "973-530-4155",
            "fax_number": "973-273-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RAMAPO VALLEY RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301100",
            "telephone_number": "973-530-4155",
            "fax_number": "973-273-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CARE MANAGEMENT AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "VERSACI",
        "authorized_official_first_name": "BENEDETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-530-4155",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Shustyk, PT, DPT
• Christine Marie Soderman
• Angela K Song
• Hayley Spector, PSY.D.
• Spectrum ABA Services LLC
• Sports Medicine Center of Bergen, PA (Excel Orthopedic Rehabilitation)
• Corrin Stach, LMT
• Amanda Starcev, LCSW
• Jai Sue, C.A.
• Surgicare Surgical Associates of Mahwah, LLC

• Community/Behavioral Health Agency in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.