South Mountain Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTH MOUNTAIN THERAPY LLC

Practice address

146 Glen Ave
Millburn, NJ 07041-1722

Phone

(347) 740-5710

NPI assigned

Mar 27, 2020

Last updated

Nov 30, 2023By 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

Ms. Shobha Ayyappan, MS, LPCNPI 1770071359

Title

Psychotherapist

Phone

(347) 740-5710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Shobha Ayyappan, MS, LPC

  • Professional Counselor
  • Maplewood, NJ
  • NPI 1770071359

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1952939944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 GLEN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411722",
            "telephone_number": "347-740-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 GLEN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411722",
            "telephone_number": "347-740-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "AYYAPPAN",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "347-740-5710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sosin
• Linda Dara Sotnick, M.S.W., L.C.S.W
• Laura C Sottile, D.C.
• Soul Sprout Family Acupuncture LLC
• South Mountain Imaging
• Specialist in Thoracic Surgery LLC
• Specialty Infusion of NJ PC
• Sharon Spiteri, MD
• Susan Sprague-Lee, LCSW
• Ranjini Sridhar

• Mental Health Clinic/Center (Including Community Mental Health Center) in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.