Organization Active NPI

NJ Family Therapy

  • Marriage & Family Therapist
  • Allendale, NJ
National Provider Identifier
1750644274
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI001671 Issued in NJ
Legal business name
NJ FAMILY THERAPY
Practice address
48 Elm St
Allendale, NJ 07401-1509
Phone
(845) 642-6697
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Mrs. Magdalena Gesiarz-Occhicone, LMFT
Title
Owner
Phone
(845) 642-6697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 37FI001671 NJ Primary

Addresses

Primary practice location

48 Elm St
Allendale, NJ 07401-1509

Mailing address

48 Elm St
Allendale, NJ 07401-1509
Phone (845) 642-6697

National Provider Directory

National Provider Directory

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1750644274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ELM ST",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011509",
            "telephone_number": "845-642-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ELM ST",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011509",
            "telephone_number": "845-642-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "GESIARZ-OCCHICONE",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-642-6697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI001671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.