Organization Active NPI

Macgibbon Psychotherapy Battle Your Demons

Doing business as Battle Your Demons

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1801622402
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MACGIBBON PSYCHOTHERAPY BATTLE YOUR DEMONS
Doing business as
Battle Your Demons
Practice address
583 Grove St
Clifton, NJ 07013-3846
Phone
(973) 220-0752
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Ms. Heather A Macgibbon, LCSWNPI 1710479167
Title
Ceo
Phone
(973) 220-0752

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

583 Grove St
Clifton, NJ 07013-3846

Mailing address

583 Grove St
Clifton, NJ 07013-3846
Phone (973) 220-0752

Other names 1

  • Battle Your Demons Doing business as

National Provider Directory

National Provider Directory

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1801622402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 GROVE ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133846",
            "telephone_number": "973-220-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 GROVE ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133846",
            "telephone_number": "973-220-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACGIBBON PSYCHOTHERAPY BATTLE YOUR DEMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MACGIBBON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-220-0752",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Battle Your Demons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Battle Your Demons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.