Organization Active NPI

Skill Sets Therapy

  • Behavior Analyst
  • Lakewood, NJ
National Provider Identifier
1760912034
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SKILL SETS THERAPY
Practice address
13 Empire LN
Lakewood, NJ 08701-5162
Phone
(848) 299-2274
NPI assigned
Jun 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Raphael Miller
Title
Director
Phone
(848) 299-2274

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

13 Empire LN
Lakewood, NJ 08701-5162

Mailing address

13 Empire LN
Lakewood, NJ 08701-5162
Phone (848) 299-2274

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760912034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EMPIRE LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015162",
            "telephone_number": "848-299-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EMPIRE LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015162",
            "telephone_number": "848-299-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILL SETS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "848-299-2274"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.