Organization Active NPI

Platinum Teletherapy LL

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1871186080
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PLATINUM TELETHERAPY LL
Practice address
475 Oberlin Ave S Ste 5
Lakewood, NJ 08701-7024
Phone
(609) 270-1148
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Chana L Ehrlich
Title
Owner
Phone
(609) 270-1148

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

475 Oberlin Ave S Ste 5
Lakewood, NJ 08701-7024

Mailing address

475 Oberlin Ave S Ste 5
Lakewood, NJ 08701-7024
Phone (609) 270-1148

National Provider Directory

National Provider Directory

Locations

475 Oberlin Ave S
Ste 5
Lakewood, NJ 08701
Phone (609) 270-1148

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1871186080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 OBERLIN AVE S STE 5",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017024",
            "telephone_number": "609-270-1148",
            "fax_number": "609-782-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 OBERLIN AVE S STE 5",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017024",
            "telephone_number": "609-270-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM TELETHERAPY LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "CHANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-270-1148"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.