NPIMap

Organization Active NPI

Warrior Cognitive and Psychological Services

  • Speech-Language Pathologist
  • North Wildwood, NJ
National Provider Identifier
1871967588
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00331200 Issued in NJ
Legal business name
WARRIOR COGNITIVE AND PSYCHOLOGICAL SERVICES
Practice address
509 Atlantic Ave
North Wildwood, NJ 08260-5842
Phone
(215) 694-0689
Fax
(215) 632-7406
NPI assigned
Nov 18, 2015
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Monica Lasalle, MA, CCC/SLPNPI 1821200668
Title
President
Phone
(215) 694-0689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00526600 NJ
Clinical Psychologist 103TC0700X PS016960 PA
Occupational Therapist 225X00000X 46TR00237600 NJ
Speech-Language Pathologist 235Z00000X 41YS00331200 NJ Primary

Addresses

Primary practice location

509 Atlantic Ave
North Wildwood, NJ 08260-5842

Mailing address

509 Atlantic Ave
North Wildwood, NJ 08260-5842
Phone (215) 694-0689

National Provider Directory

National Provider Directory

Locations

26121 US Route 11
Ste 1
Evans Mills, NY 13637
Phone (315) 221-5101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1871967588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ATLANTIC AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605842",
            "telephone_number": "215-694-0689",
            "fax_number": "215-632-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ATLANTIC AVE",
            "city": "NORTH WILDWOOD",
            "state": "NJ",
            "postal_code": "082605842",
            "telephone_number": "215-694-0689",
            "fax_number": "215-632-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR COGNITIVE AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "LASALLE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-694-0689",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00526600",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016960",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00237600",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00331200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wildwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.