Organization Active NPI

Anabasis Psychotherapy Consultants, LLP

  • Clinical Social Worker
  • Somerville, NJ
National Provider Identifier
1710104112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC-046094 Issued in NJ
Legal business name
ANABASIS PSYCHOTHERAPY CONSULTANTS, LLP
Practice address
25 W High St
Somerville, NJ 08876-2100
Phone
(908) 526-5784
Fax
(908) 526-5789
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura Suzanne Caile, MSW
Title
Managing Partner
Phone
(908) 526-5784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SC-046094 NJ Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SC-000394 NJ

Addresses

Primary practice location

25 W High St
Somerville, NJ 08876-2100

Mailing address

25 W High St
Somerville, NJ 08876-2100
Phone (908) 526-5784

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710104112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762100",
            "telephone_number": "908-526-5784",
            "fax_number": "908-526-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762100",
            "telephone_number": "908-526-5784",
            "fax_number": "908-526-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANABASIS PSYCHOTHERAPY CONSULTANTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAILE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "908-526-5784",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC-046094",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC-000394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • 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.