Organization Active NPI

CTW & Associates

  • Community/Behavioral Health Agency
  • Irvington, NJ
National Provider Identifier
1992985188
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CTW & ASSOCIATES
Practice address
151 S Durand PL
Irvington, NJ 07111-1807
Phone
(973) 704-1200
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mr. Corey T Wilson
Title
Founder/Chief Executive Officer
Phone
(973) 704-1200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

151 S Durand PL
Irvington, NJ 07111-1807

Mailing address

151 S Durand PL
Irvington, NJ 07111-1807
Phone (973) 704-1200

Other names 1

  • The Koi Academy 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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1992985188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S DURAND PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111807",
            "telephone_number": "973-704-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S DURAND PL",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111807",
            "telephone_number": "973-704-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTW & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FOUNDER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-704-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Koi Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.