La Perle Psychotherapy

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Pitman, NJ

NPI 1740935006 · NPPES record last updated Feb 15, 2022

Key facts

NPI
1740935006
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
LA PERLE PSYCHOTHERAPY
Practice address
140 S Broadway Ste 7
Pitman, NJ 08071-2235
Phone
(844) 365-7676
NPI assigned
Feb 15, 2022
Organization subpart
No

Authorized official

Name
Sherley Saget-Menager NPI 1437451051
Title
Owner
Phone
(844) 365-7676

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221223000032 NJ Part B Supplier - Clinic/Group Practice 3173993706 Receives reassigned benefits from 1 practitioner
Practice locations: Pitman, NJ

National Provider Directory

Locations

140 S Broadway
Pitman, NJ 08071
Phone (215) 500-4924

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

140 S Broadway Ste 7
Pitman, NJ 08071-2235

Mailing address

9 Fisler Dr
Clayton, NJ 08312-2421
Phone (732) 925-1519

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 15, 2022.

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1740935006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FISLER DR",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083122421",
            "telephone_number": "732-925-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S BROADWAY STE 7",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080712235",
            "telephone_number": "844-365-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PERLE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SAGET-MENAGER",
        "authorized_official_first_name": "SHERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-365-7676"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pitman, NJ

All providers in Pitman, NJ · Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

Sources for this page

Verify at the official NPI Registry.