Organization Active NPI

Personal Solutions, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Oradell, NJ
National Provider Identifier
1801119896
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00056100 Issued in NJ
Legal business name
PERSONAL SOLUTIONS, LLC
Practice address
297 Kinderkamack Road
Suite 212
Oradell, NJ 07649
Phone
(201) 690-6760
Fax
(201) 967-1346
NPI assigned
Mar 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Stacey Glick-Novack, LCSW, LCADCNPI 1518063114
Title
Clinician/Counselor
Phone
(201) 690-6760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 37LC00056100 NJ Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC0430110 NJ

Addresses

Primary practice location

297 Kinderkamack Road
Suite 212
Oradell, NJ 07649

Mailing address

297 Kinderkamack Road
Suite 212
Oradell, NJ 07649
Phone (201) 690-6760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429001105 NJ Part B Supplier - Clinic/Group Practice 5698802239 Receives reassigned benefits from 1 practitioner
Practice locations: Oradell, NJ; Park Ridge, NJ

National Provider Directory

National Provider Directory

Locations

210 Summit Ave
Bldg C
Montvale, NJ 07645
Phone (201) 690-6760

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1801119896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK ROAD",
            "address_2": "SUITE 212",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-690-6760",
            "fax_number": "201-967-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KINDERKAMACK ROAD",
            "address_2": "SUITE 212",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-690-6760",
            "fax_number": "201-967-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "GLICK-NOVACK",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CLINICIAN/COUNSELOR",
        "authorized_official_telephone_number": "201-690-6760",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00056100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0430110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.