Active NPI
NJ Family Therapy
- Marriage & Family Therapist
- Allendale, NJ
National Provider Identifier
1750644274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI001671
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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 DirectoryPractitioners & 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.
-
- Marriage & Family Therapist
- Allendale, NJ
- NPI 1003179367
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.