Organization Active NPI

CBT and Psychodynamic Therapy Associates LLC

  • Clinical Social Worker
  • Englewood, NJ
National Provider Identifier
1881235497
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CBT AND PSYCHODYNAMIC THERAPY ASSOCIATES LLC
Practice address
245 Walnut Street
Englewood, NJ 07631
Phone
(201) 321-4334
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Dr. Michael E. Portman, MSW, DPHIL LCSW
Title
Clinical Social Worker (Licensed in
Phone
(201) 321-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

245 Walnut Street
Englewood, NJ 07631

Mailing address

245 Walnut Street
Englewood, NJ 07631
Phone (201) 321-4334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1881235497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WALNUT STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-321-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WALNUT STREET",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-321-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBT AND PSYCHODYNAMIC THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "PORTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER (LICENSED IN",
        "authorized_official_telephone_number": "201-321-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, DPHIL LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.