Achieve Psychotherapy, PC | NPI 1679871982

Key facts

NPI: 1679871982
Entity type: Organization (NPI type 2)
Primary specialty: Group Psychotherapy Psychologist 103TP2701X
License: 25MA02575900 (NJ)
Legal business name: ACHIEVE PSYCHOTHERAPY, PC
Practice address: 14 Shemen CT
Lakewood, NJ 08701-3662
Phone: (973) 826-0060
NPI assigned: Mar 10, 2011
Organization subpart: No

Authorized official

Name: Dr. James R Cowan Jr.
Title: President
Phone: (973) 826-0060

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Group Psychotherapy Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103TP2701X	25MA02575900	NJ	Yes

Addresses

Primary practice location

14 Shemen CT
Lakewood, NJ 08701-3662

Mailing address

14 Shemen CT
Lakewood, NJ 08701-3662
Phone (973) 826-0060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2011.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1679871982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SHEMEN CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013662",
            "telephone_number": "973-826-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SHEMEN CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013662",
            "telephone_number": "973-826-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-826-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NJ",
            "license": "25MA02575900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

All providers in Lakewood, NJ · Group Psychotherapy Psychologist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.