Rebecca Gillespie LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37F100181900 Issued in NJ

Legal business name

REBECCA GILLESPIE LLC

Practice address

70 Park St Ste 104
Montclair, NJ 07042-2960

Phone

(848) 628-4027

Fax

(973) 233-1004

NPI assigned

May 26, 2017

Organization subpart

No

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

Authorized official

Name

Rebecca Gillespie, LMFTNPI 1760806848

Title

Licensed Marriage & Family Therapis

Phone

(848) 628-4027

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rebecca Suzanne Gillespie, MA, LMFT

  • Marriage & Family Therapist
  • Montclair, NJ
  • NPI 1760806848
  NPD Authorized official

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609304278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARK ST STE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422960",
            "telephone_number": "848-628-4027",
            "fax_number": "973-233-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARK ST STE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422960",
            "telephone_number": "848-628-4027",
            "fax_number": "973-233-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA GILLESPIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPIS",
        "authorized_official_telephone_number": "848-628-4027",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37F100181900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.