Eclectic Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01302300 Issued in NJ

Legal business name

ECLECTIC COUNSELING CENTER

Practice address

287 Boulevard
Pompton Plains, NJ 07444

Phone

(973) 835-0740

Fax

(973) 633-8658

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph L Dechristofano, MSW, LCSWNPI 1184897191

Title

Partner

Phone

(973) 835-0740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Mary V Dechristofano, MSW, LCSW

  • Clinical Social Worker
  • Pompton Plains, NJ
  • NPI 1588839708
  Medicare reassignment NPD
• Joseph Leonard Dechristofano, LCSW

  • Clinical Social Worker
  • Pompton Plains, NJ
  • NPI 1184897191
  Authorized official Same address or phone

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1770749608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-835-0740",
            "fax_number": "973-633-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 BOULEVARD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "07444",
            "telephone_number": "973-835-0740",
            "fax_number": "973-633-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "DECHRISTOFANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-835-0740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01302300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Dunne, MPT, ATC
• Krishna Duvvuri, MD
• Uma Duvvuri, M.D
• Francis Ronald Dynof, MD
• Ea Healthcare LLC
• Glyn Eisenhauer, PH. D.
• Stephanie England
• Erickson Health Medical Group of New Jersey PC
• Erickson Health Medical Group of New Jersey PC
• Bonnie J Faresich, P.T.

• Clinical Social Worker in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.