NPIMap

Organization Active NPI

Sakowitz Counseling PA

  • Clinical Psychologist
  • Lincoln Park, NJ
National Provider Identifier
1700949740
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SIO0148700 Issued in NJ
Legal business name
SAKOWITZ COUNSELING PA
Practice address
61 Beaver Brook Road
Suite 302
Lincoln Park, NJ 07035-1440
Phone
(973) 696-0800
Fax
(973) 305-8078
NPI assigned
Dec 19, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
James Glynn, PSY DNPI 1083967418
Title
Owner
Phone
(973) 696-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 35SIO0148700 NJ Primary

Addresses

Primary practice location

61 Beaver Brook Road
Suite 302
Lincoln Park, NJ 07035-1440

Mailing address

61 Beaver Brook Road
Suite 302
Lincoln Park, NJ 07035-1440
Phone (973) 696-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730002233 NJ Part B Supplier - Clinic/Group Practice 9335686195 Receives reassigned benefits from 14 practitioners
Practice locations: Lincoln Park, NJ

National Provider Directory

National Provider Directory

Locations

61 Beaverbrook Rd
Ste 302
Lincoln Park, NJ 07035
Phone (973) 696-0800

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1700949740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEAVER BROOK ROAD",
            "address_2": "SUITE 302",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351440",
            "telephone_number": "973-696-0800",
            "fax_number": "973-305-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEAVER BROOK ROAD",
            "address_2": "SUITE 302",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351440",
            "telephone_number": "973-696-0800",
            "fax_number": "973-305-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKOWITZ COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-696-0800",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SIO0148700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.