Organization Active NPI

Union County Psychotherapy Inc.

  • Clinical Social Worker
  • Westfield, NJ
National Provider Identifier
1730394156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00763200 Issued in NJ
Legal business name
UNION COUNTY PSYCHOTHERAPY INC.
Practice address
127 S Euclid Ave
Westfield, NJ 07090-5116
Phone
(908) 233-7333
Fax
(908) 845-0268
NPI assigned
May 10, 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
Mr. Dennis Brooks, M.S.W.NPI 1922213347
Title
Pesident
Phone
(908) 233-7333

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC00763200 NJ Primary

Addresses

Primary practice location

127 S Euclid Ave
Westfield, NJ 07090-5116

Mailing address

127 S Euclid Ave
Westfield, NJ 07090-5116
Phone (908) 233-7333

Other identifiers 1

IdentifierTypeStateIssuer
0007403159OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150605001378 NJ Part B Supplier - Clinic/Group Practice 4880915537 Receives reassigned benefits from 1 practitioner
Practice locations: Cranford, NJ

National Provider Directory

National Provider Directory

Locations

108 N Union Ave
Cranford, NJ 07016
Phone (908) 272-2666

15 Alden St
Ste 16
Cranford, NJ 07016
Phone (908) 276-2254

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730394156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905116",
            "telephone_number": "908-233-7333",
            "fax_number": "908-845-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905116",
            "telephone_number": "908-233-7333",
            "fax_number": "908-845-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PESIDENT",
        "authorized_official_telephone_number": "908-233-7333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00763200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007403159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, 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.
  • 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.