Kaitlin E Deitz, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00278300 Issued in NJ

Practice address

80 Conover Rd
Marlboro, NJ 07746-1003

Phone

(732) 946-9444

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Discovery Institute for Addictive Disorders

  • Substance Abuse Rehabilitation Facility
  • Marlboro, NJ
  • NPI 1831366244
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1619534922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077460177",
            "telephone_number": "732-946-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CONOVER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461003",
            "telephone_number": "732-946-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "KAITLIN",
        "middle_name": "E",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00278300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Coulson, PA
• Sarah Daghestani, OTR
• Marisa Dailey, DDS
• Jodie Dashore, OTD, OTR/L
• Deborah Weinstein LCSW LLC
• Theresa Demichele, PHD
• Sandy J Derris, CCC-SLP
• Heena Desai, PHARM.D.
• Laura Devaney, L.AC.
• Diljeet Dhillon

• Addiction (Substance Use Disorder) Counselor in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.