Mosaic Psychotherapy Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOSAIC PSYCHOTHERAPY GROUP

Practice address

45 Broadway Ste 203
Denville, NJ 07834-2741

Phone

(973) 625-7577

Fax

(908) 879-4007

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Christine F Petrat, MSW

Title

Owner

Phone

(973) 625-7577

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659437002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BROADWAY STE 203",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342741",
            "telephone_number": "973-625-7577",
            "fax_number": "908-879-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BROADWAY STE 203",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342741",
            "telephone_number": "973-625-7577",
            "fax_number": "908-879-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PSYCHOTHERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRAT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-625-7577",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Denville, NJ
• Providers in Denville, 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 Aug 22, 2020; 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.