Paul D. Kreisinger, LCSW, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

44SC05633100 Issued in NJ

Legal business name

PAUL D. KREISINGER, LCSW, LLC

Practice address

1172 E Ridgewood Ave
Second Floor - Suite 8
Ridgewood, NJ 07450-3936

Phone

(201) 251-2300

Fax

(201) 939-3336

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Paul D Kreisinger, LCSWNPI 1144104191

Title

Owner

Phone

(201) 939-3336

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.

• Paul Dennis Kreisinger, LCSW

  • Clinical Social Worker
  • Rutherford, NJ
  • NPI 1144104191
  NPD (past) Authorized official

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1871967828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ELLIOTT PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701951",
            "telephone_number": "201-939-3336",
            "fax_number": "201-939-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE",
            "address_2": "SECOND FLOOR - SUITE 8",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503936",
            "telephone_number": "201-251-2300",
            "fax_number": "201-939-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. KREISINGER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "KREISINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-939-3336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "44SC05633100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narendra D Patel, M.D.
• Nirali Patel, PA-C
• Sejal Patel, PA-C
• Pathways for Enhanced Living, LLC
• Carly Patterson, LPC, LPAT
• Franklin E Paulino, M.D.
• Dana Pavese, ED.S., LPC
• Haleh Pazwash, M.D.
• Pediatric Dental Associates LLC
• Pediatric Surgicalcare, LLC

• Adult Mental Health Clinic/Center in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.