Organization Active NPI

Cor Support LLC

  • Clinical Psychologist
  • Closter, NJ
National Provider Identifier
1891230470
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1083950471 Issued in NJ
Legal business name
COR SUPPORT LLC
Practice address
294 Harrington Ave
Suite 7
Closter, NJ 07624-1912
Phone
(201) 564-7331
Fax
(201) 564-7337
NPI assigned
Jan 5, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Mrs. Karen Marie Rule Suarez, LCSW
Title
Clinical Director
Phone
(201) 564-7331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1083950471 NJ Primary
Clinical Social Worker 1041C0700X 1821413626 NJ

Addresses

Primary practice location

294 Harrington Ave
Suite 7
Closter, NJ 07624-1912

Mailing address

294 Harrington Ave
Suite 7
Closter, NJ 07624-1912
Phone (201) 564-7331

National Provider Directory

National Provider Directory

Locations

908 Pompton Ave
Ste B2
Cedar Grove, NJ 07009
Phone (973) 239-0024

294 Harrington Ave
Ste 7
Closter, NJ 07624
Phone (201) 381-6136

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1891230470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 HARRINGTON AVE",
            "address_2": "SUITE 7",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241912",
            "telephone_number": "201-564-7331",
            "fax_number": "201-564-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 HARRINGTON AVE",
            "address_2": "SUITE 7",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241912",
            "telephone_number": "201-564-7331",
            "fax_number": "201-564-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COR SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "RULE SUAREZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "201-564-7331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "1083950471",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "1821413626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Closter, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.