Active NPI
CBT and Psychodynamic Therapy Associates LLC
- Clinical Social Worker
- Englewood, NJ
National Provider Identifier
1881235497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Debra D Castaldo, PH.D.
- Lisa Jean Castrianni, LCSW
- Karen E. Cauthen, LRC
- Cynthia Cazeau, AGPCNP-BC
- Joanne Wesley Cazeau, MS, CCC-SLP
- Center for Holistic & Integrative Medicine (CHI Medicine)
- Center for Remote Medical Management LLC
- Center for Sinus & Nasal Disease PA
- Edmund Chaitman, M.D.
- Venus H Chalfin, MD
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.