Wise Owl Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC05591200 Issued in NJ

Legal business name

WISE OWL THERAPY

Practice address

12-15 Broadway
Suite 2a
Fair Lawn, NJ 07410-2031

Phone

(973) 544-8574

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Alvarez, LCSW

Title

Therapist

Phone

(973) 544-8574

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1891164646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 GOFFLE RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062854",
            "telephone_number": "973-544-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY",
            "address_2": "SUITE 2A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "973-544-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE OWL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "973-544-8574",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Wicker
• Nicholas Wilbur
• Marcus L Williams, M.D.
• Susan A Wilson, LAC
• Jacqueline Patricia Winnicki, M.ED.
• Emily Wolfson, M.A., CF-SLP
• Victoria E. Wolther, LSW
• Tara Wong, LCSW
• Mollie Wood, CCC-SLP
• Dee D Wu, MD

• Community/Behavioral Health Agency in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.