The Childrens Source for Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

THE CHILDRENS SOURCE FOR THERAPY LLC

Practice address

556 Eagle Rock Avenue
Suite 101
Roseland, NJ 07068

Phone

(973) 226-5052

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Maykish, OT

Title

Director

Phone

(973) 226-5052

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1952599201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVENUE",
            "address_2": "SUITE 101",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "07068",
            "telephone_number": "973-226-5052",
            "fax_number": "973-226-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVENUE",
            "address_2": "SUITE 101",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "07068",
            "telephone_number": "973-226-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDRENS SOURCE FOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MAYKISH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-226-5052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Szalay, MS, RD
• Benjamin Tack, DO
• Olivia Victoria Tarabokija, RDN
• Team 94 a NJ Nonprofit Corporation
• The Arc of Essex County, Inc.
• Thrive Homes New Jersey Inc.
• Yimin Tian
• Julie Ann Traupman, APN
• Carol Tudor, LPC
• Christina Lee Van Jura, LCSW

• Occupational Therapist in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.