Amanda Audrey Zavattieri, M.A., LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00605300 Issued in NJ

Practice address

1 Main St Ste 314
Eatontown, NJ 07724-3905

Phone

(800) 605-0612

Fax

(800) 605-0612

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Amanda Audrey Faulhaber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Therapy, LLC

  • Psychologist
  • Eatontown, NJ
  • NPI 1861910747
  NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1740825850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 314",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243905",
            "telephone_number": "800-605-0612",
            "fax_number": "800-605-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 314",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243905",
            "telephone_number": "800-605-0612",
            "fax_number": "800-605-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVATTIERI",
        "first_name": "AMANDA",
        "middle_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00605300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FAULHABER",
            "middle_name": "AUDREY",
            "prefix": "MS.",
            "credential": "M.A., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• YMCA of the Jersey Shore
• YMCA of the Jersey Shore
• YMCA of the Jersey Shore
• Toni Zachos-Kaplan, MSW, LCSW
• Eran Sol Zacks, MD
• William Francis Ziegler, D.O.
• Michael John Zimmer, M.D.
• Susanne W Zimmermann, M.D.
• Helene Victoria Zimnes, DMD
• Zinnia ABA LLC

• Counselor in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.