Wildrose Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILDROSE PSYCHOTHERAPY LLC

Practice address

222 Kinderkamack Road
Suite 102
Oradell, NJ 07649

Phone

(201) 921-5060

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Tamini Joy Farah, LCSW

Title

Owner/Psychotherapist

Phone

(201) 921-5060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1649983750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KINDERKAMACK ROAD",
            "address_2": "SUITE 102",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-921-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KINDERKAMACK ROAD",
            "address_2": "SUITE 102",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-921-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROSE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "TAMINI",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-921-5060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Weisenfeld, DMD
• Tonja Alexandra Werkman, RD
• Keith Werner
• Whole Child Center, LLC
• Stanley Lawrence Wiener, MD
• Daniel J Wilkin, DO
• Alfred James Williams, MD
• Jane S Williams, LCSW
• Rachel Wilson, RD
• Madeline Sylvia Wingerath, LSW

• Clinical Social Worker in Oradell, NJ
• Providers in Oradell, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.