Quantum Psychotherapy Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

QUANTUM PSYCHOTHERAPY GROUP

Practice address

389 Berkeley Ave
Bloomfield, NJ 07003-5001

Phone

(201) 540-6328

NPI assigned

Feb 11, 2022

Last updated

Feb 11, 2022By 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

Erica Tait, LCSW, LCADCNPI 1245832690

Title

Psychotherapist

Phone

(201) 540-6328

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, and the practitioner matching its NPPES authorized official.

• Erica Tait, LCSW, LCADC

  • Clinical Social Worker
  • Ho Ho Kus, NJ
  • NPI 1245832690
  NPD Authorized official

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1952055535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 BERKELEY AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035001",
            "telephone_number": "201-540-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 BERKELEY AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035001",
            "telephone_number": "201-540-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM PSYCHOTHERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-540-6328",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.