Organization Active NPI

Edinger Relational Ventures LLC

  • Marriage & Family Therapist
  • Salem, MA
National Provider Identifier
1801673496
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EDINGER RELATIONAL VENTURES LLC
Practice address
149 Derby St Apt J
Salem, MA 01970-5600
Phone
(832) 731-4881
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Mr. David Skeetz Edinger, LMFT-S
Title
Psychotherapist/ Practice Owner
Phone
(832) 731-4881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

149 Derby St Apt J
Salem, MA 01970-5600

Mailing address

149 Derby St Apt J
Salem, MA 01970-5600
Phone (832) 731-4881

Other names 1

  • Skeetz Edinger Family Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1801673496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DERBY ST APT J",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705600",
            "telephone_number": "832-731-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DERBY ST APT J",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705600",
            "telephone_number": "832-731-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINGER RELATIONAL VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "EDINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SKEETZ",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/ PRACTICE OWNER",
        "authorized_official_telephone_number": "832-731-4881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT-S"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skeetz Edinger Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.