Princeton Consulting and Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04888700 Issued in NJ

Legal business name

PRINCETON CONSULTING AND THERAPY, LLC

Practice address

5234 Overlook LN
Canandaigua, NY 14424-9111

Phone

(585) 331-9320

NPI assigned

Feb 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward Joseph Thibodeau, MSSANPI 1063485761

Title

Partner

Phone

(585) 331-9320

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.

• Edward Joseph Thibodeau, MSSA

  • Clinical Social Worker
  • Canandaigua, NY
  • NPI 1063485761
  NPD (past) Authorized official

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1881667582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 OVERLOOK LN",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249111",
            "telephone_number": "585-331-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5234 OVERLOOK LN",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249111",
            "telephone_number": "585-331-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CONSULTING AND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-12",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "THIBODEAU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-331-9320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSSA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04888700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Robert Pratt, DDS
• Premier Physical Therapy of the Fingerlakes, PLLC
• Jenna Prewasnicak
• Priestman Chiropractic PC
• Michael B Priestman, DC
• Samantha Pritty
• Doyle Pruitt, LCSW-R
• Darcy L Prunoske
• Cristina Ashley Puccia
• Min Qiao, M.D.

• Clinical Social Worker in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; 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.