Organization Active NPI

Personal International Services, Inc.

  • Clinical Social Worker
  • Highland Lakes, NJ
National Provider Identifier
1942349402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC14223 Issued in NJ
Legal business name
PERSONAL INTERNATIONAL SERVICES, INC.
Practice address
651 Canistear Rd
Highland Lakes, NJ 07422-2088
Phone
(973) 764-9001
Fax
(973) 764-9005
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Miriam Divinsky, PH.D.
Title
President
Phone
(973) 764-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SC14223 NJ Primary

Addresses

Primary practice location

651 Canistear Rd
Highland Lakes, NJ 07422-2088

Mailing address

PO Box 1033
Highland Lakes, NJ 07422-4033
Phone (973) 764-9001

Other names 1

  • Center for Wellness and Creative Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942349402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074224033",
            "telephone_number": "973-764-9001",
            "fax_number": "973-764-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 CANISTEAR RD",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074222088",
            "telephone_number": "973-764-9001",
            "fax_number": "973-764-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL INTERNATIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIVINSKY",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-764-9001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC14223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Wellness and Creative Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.