Organization Active NPI

Nicole Garcia PHD LLC

  • Psychiatric Hospital Unit
  • Montclair, NJ
National Provider Identifier
1609180983
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
35SI00461100 Issued in NJ
Legal business name
NICOLE GARCIA PHD LLC
Practice address
8 Hillside Ave
Suite 206
Montclair, NJ 07042-2129
Phone
(917) 723-9986
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Dr. Nicole A Garcia, PHD LLC
Title
Owner
Phone
(917) 723-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 35SI00461100 NJ Primary

Addresses

Primary practice location

8 Hillside Ave
Suite 206
Montclair, NJ 07042-2129

Mailing address

8 Hillside Ave
Suite 206
Montclair, NJ 07042-2129
Phone (917) 723-9986

Other names 1

  • Evolve Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

8 Hillside Ave
Ste 206
Montclair, NJ 07042
Phone (732) 221-3914

460 Bloomfield Ave
Ste 307
Montclair, NJ 07042
Phone (917) 723-9986

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1609180983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "address_2": "SUITE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "917-723-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "address_2": "SUITE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "917-723-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GARCIA PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-723-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LLC"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "35SI00461100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.