Amanda Malanga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00556300 Issued in NJ

Practice address

666 Godwin Ave
Midland Park, NJ 07432-1449

Phone

(201) 444-8110

NPI assigned

Feb 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nuturing the Soul LLC

  • Community/Behavioral Health Agency
  • Fords, NJ
  • NPI 1720434350
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1831462936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WICK DR",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631406",
            "telephone_number": "732-770-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GODWIN AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321449",
            "telephone_number": "201-444-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Wick Dr",
            "address_purpose": "LOCATION",
            "city": "Fords",
            "state": "NJ",
            "postal_code": "088631406",
            "country_code": "US",
            "telephone_number": "732-770-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALANGA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00556300",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00195200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiuying Liu, RPH
• Live Life Therapy, LLC
• Lisa M Lynch, DDS
• Virgina D Macisaac, LCSW
• Timothy Joseph Mackey, MD
• Amanda Maldonado, PHARMD
• Paul Manzella
• Claire Maquiling
• Martin L. Smithline MD PA
• Danielle Martin, DPT, PT

• Mental Health Counselor in Midland Park, NJ
• Providers in Midland Park, 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 Aug 2, 2021; 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.