Success Source Counseling and Life Coaching, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

38MC00695500 Issued in NJ

Legal business name

SUCCESS SOURCE COUNSELING AND LIFE COACHING, LLC

Practice address

808 High Mountain Rd
Franklin Lakes, NJ 07417-2905

Phone

(201) 425-1981

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Press, MS, DC

Title

Chiropractic Physician

Phone

(201) 425-1981

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1689007296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HIGH MOUNTAIN RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HIGH MOUNTAIN RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172905",
            "telephone_number": "201-425-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS SOURCE COUNSELING AND LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "201-425-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": "38MC00695500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sportsmed Chiropractic LLC
• Sportsmed Physical Therapy, LLC
• Jake Alexander Squilla, PT, DPT
• Emily Stefanelli, PHARMD
• Corie Stone, L.AC.
• Paige B Suchoff
• Sunrise Medicine Limited Liability Company
• Sunrise of Franklin Lakes Opco, LLC (Sunrise of Franklin Lakes)
• David Brand Sutter, M.D.
• Adriana Juliet Tandazo, PTA

• Multi-Specialty Clinic/Center in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.