Theracorp, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERACORP, LLC

Practice address

86 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Phone

(973) 207-6834

NPI assigned

Feb 3, 2018

Organization subpart

No

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

Authorized official

Name

Alla Krutyansky, MSW, LSWNPI 1497293096

Title

President/Chief Operating Officer

Phone

(973) 207-6834

Specialties & licenses 1

Addresses

Other names 1

• TheraCorp Therapeutic Solutions Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Theracorp, LLC

  • Clinical Social Worker
  • Jamesburg, NJ
  • NPI 1063947828

  O20180220001235

  Same enrollment

Locations

Practitioners 43

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

• Alla Krutyansky, MSW, LSW

  • Clinical Child & Adolescent Psychologist
  • Jamesburg, NJ
  • NPI 1497293096

  Clinical

  NPD Authorized official
• Dorothy Alexander, CSW

  • Clinical Social Worker
  • Florham Park, NJ
  • NPI 1750890646

  Clinical

  NPD
• Francheska Elaine Capellan, LAC

  • Counselor
  • Jersey City, NJ
  • NPI 1235946559
  NPD
• Mason Costeira, LPC, NCC

  • Professional Counselor
  • Howell, NJ
  • NPI 1164142204
  NPD
• Amanda Francia D'Orazio, LPC

  • Professional Counselor
  • Sewell, NJ
  • NPI 1154792604
  NPD
• Si Yan Diana Dou, RPA-C

  • Physician Assistant
  • Jamesburg, NJ
  • NPI 1710122767
  NPD
• Tash Duplain, LAC

  • Professional Counselor
  • Fairfield, NJ
  • NPI 1831834951
  NPD
• Murla Ecclesiaste, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Morristown, NJ
  • NPI 1861820235
  NPD
• Francesca Lynn Enriquez, LPC

  • Mental Health Counselor
  • Old Bridge, NJ
  • NPI 1801297510
  NPD
• Yarini Alexandra Garcia Guilamo

  • Counselor
  • Jersey City, NJ
  • NPI 1609444090
  NPD
• Regina B Glisson, APN-C

  • Nurse Practitioner
  • Neptune, NJ
  • NPI 1245576834
  NPD
• Connie Lieberman, LSW

  • Social Worker
  • Eatontown, NJ
  • NPI 1942769252
  NPD

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790284909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROXY CT",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077274203",
            "telephone_number": "973-207-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "973-207-6834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 E Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Jamesburg",
            "state": "NJ",
            "postal_code": "088311207",
            "country_code": "US",
            "telephone_number": "973-207-6834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERACORP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KRUTYANSKY",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "973-207-6834",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraCorp Therapeutic Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Urology Group of Central New Jersey
• Their Place Inc.
• Their Place Inc.
• Their Place Inc.
• Alexandria Theordor, MSW, LCSW, CBIS
• Therapeutics Unlimited Health and Wellness, LLC
• Therapeutics Unlimited Inc
• Philip J. Therrien
• Pritinder Thind, M.D.
• Naemmy Thompson, LCSW

• All providers in East Brunswick, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.