SPECIALIZED THERAPY ASSOCIATES LLC (NPI# 1205174075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205174075 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED THERAPY ASSOCIATES LLC |
| Practice Address |
83 Summit Ave 2nd Floor Hackensack NJ 07601-1262 |
| Mailing Address |
P.o. Box 3016 South Hackensack NJ 07606-3016 |
| Practice Telephone | 2014886678 |
| Practice Fax Number | 2013424346 |
| Mailing Telephone | 2014886678 |
| Mailing Fax Number | 2013424346 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |
| Authorized Official Name | DR. VANESS GOURDINE (DIRECTOR) |
| Authorized Official Telephone | 2014886678 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIALIZED THERAPY ASSOCIATES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NY | Allopathic & Osteopathic Physicians | |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1467798157 | Specialized Therapy Associates LLC | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1548506231 | Specialized Therapy Associates LLC | Social Worker | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1417293101 | Specialized Therapy Associates LLC | Nurse Practitioner | 83 Summit Ave, 2 Nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| Street Address |
83 SUMMIT AVE 2ND FLOOR |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336189786 | Theresa Marie Impeduglia | Surgery | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2006-06-07 |
| 1861949752 | Jessica Kicha | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2016-09-08 |
| 1407236748 | Meredith Aceste | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-06-02 |
| 1962898213 | Christopher Hires | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-04-14 |
| 1396138442 | Kenneth Welsh | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-03-13 |
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1467798157 | Specialized Therapy Associates LLC | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1548506231 | Specialized Therapy Associates LLC | Social Worker | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1417293101 | Specialized Therapy Associates LLC | Nurse Practitioner | 83 Summit Ave, 2 Nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1750600888 | Sruti Patel | Surgery | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609260678 | Christopher Matthew Scovell | Psychiatry & Neurology | 211 Essex St Ste 204, Hackensack, NJ 07601-3245 | 2015-03-26 |
| 1831319508 | Mercedes Angeles Paine | Psychiatry & Neurology | 55 Summit Ave, 3 Rd Floor, Hackensack, NJ 07601-1262 | 2007-04-26 |
| 1356497960 | Center of Revitalizing Psychiatry, P.C. | Psychiatry & Neurology | 795 Main Street, Hackensack, NJ 07601-8107 | 2007-01-26 |
| 1275589202 | Ramakrishna Gudapati | Psychiatry & Neurology | 310 Prospect Ave Apt 223, Hackensack, NJ 07601-7763 | 2006-05-25 |
| 1649225236 | Arturo L Marrero-figarella | Psychiatry & Neurology | 60 2nd St, Dept of Psych, Hackensack, NJ 07601-2050 | 2006-05-23 |
| 1982675476 | Syed Arif Zaidi | Psychiatry & Neurology | 294 State St, Ste 2, Hackensack, NJ 07601-5518 | 2006-02-01 |
| 1063994960 | Hackensack Psychiatric Group LLC | Psychiatry & Neurology | 211 Essex St Ste 204, Hackensack, NJ 07601-3245 | 2018-09-06 |
| 1699171686 | Dianne Thomas Md LLC | Psychiatry & Neurology | 165 State St, Suite 2, Hackensack, NJ 07601-5463 | 2014-11-18 |
| 1982996484 | Nabil Ahmed Siddiqi | Psychiatry & Neurology | 30 Prospect Ave, Hackensack, NJ 07601 | 2011-05-03 |
| 1861709347 | Daniel Garrett Finch | Psychiatry & Neurology | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2010-09-07 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.