Elevated Integrative Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELEVATED INTEGRATIVE THERAPY LLC

Practice address

2500 Plaza 5
Jersey City, NJ 07311

Phone

(571) 357-3722

Fax

(201) 648-2707

NPI assigned

Jun 21, 2024

Organization subpart

No

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

Authorized official

Name

Sandy Amin, COUNSELORNPI 1417700030

Title

Owner

Phone

(571) 357-3722

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sandy Amin, LCSW

  • Clinical Social Worker
  • Port Reading, NJ
  • NPI 1417700030
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1801630140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DAWN DR",
            "city": "PORT READING",
            "state": "NJ",
            "postal_code": "070641403",
            "telephone_number": "571-357-3722",
            "fax_number": "201-648-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PLAZA 5",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07311",
            "telephone_number": "571-357-3722",
            "fax_number": "201-648-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED INTEGRATIVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-357-3722",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Elamir, M.D.
• Yasmine Elamir, M.D.
• Elbar Corp
• Aya Eldesouky
• Alaa Salah Eldin, MD
• Lital Elfassi, DPT
• Rasha Elgebaly
• Mona Elgohail, PHD
• Mostafa M Elhennawy, RPH
• Kathleen L Elias

• Mental Health Counselor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Mental Health Counselor in New Jersey

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