SPECIALIZED THERAPY ASSOCIATES LLC (NPI# 1467798157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467798157 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED THERAPY ASSOCIATES LLC |
| Practice Address |
83 Summit Ave 2nd Floor Hackensack NJ 07601-1262 |
| Mailing Address |
Po Box 3016 South Hackensack NJ 07606-1016 |
| Practice Telephone | 2014886678 |
| Practice Fax Number | 2013424346 |
| Mailing Telephone | 2014886678 |
| Mailing Fax Number | 2013424346 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | DR. VANESSA GOURDINE (DIRECTOR) |
| Authorized Official Telephone | 2014886678 |
| Authorized Official Credential | PSY D |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECIALIZED THERAPY ASSOCIATES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205174075 | Specialized Therapy Associates LLC | Psychiatry & Neurology | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2013-01-29 |
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 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 |
| 1205174075 | Specialized Therapy Associates LLC | Psychiatry & Neurology | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2013-01-29 |
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722824 | Sarah Marie Barks | Counselor | 426 Hudson St Ste 2, Hackensack, NJ 07601-6670 | 2020-05-26 |
| 1588905467 | Eleanor Mccoy-brock | Counselor | 455 Colonial Ter, Hackensack, NJ 07601-1403 | 2013-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| 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.