SPECIALIZED THERAPY ASSOCIATES LLC (NPI# 1548506231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548506231 |
| 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 | 104100000X | Social Worker | 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 |
| 1467798157 | Specialized Therapy Associates LLC | Counselor | 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 |
| 1467798157 | Specialized Therapy Associates LLC | Counselor | 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 | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467096347 | Kerry Geddis | Social Worker | 280 Clark St Apt 2c, Hackensack, NJ 07601-1063 | 2019-11-04 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1528541729 | Paula Marie Schroeder | Social Worker | 112 Mn-371, Hackensack, MN 56452 | 2018-09-13 |
| 1336627058 | Melissa Camano | Social Worker | 10 Banta Pl, Hackensack, NJ 07601-5612 | 2018-08-03 |
| 1306368741 | Natalia Velandia | Social Worker | 214 State St Ste 207, Hackensack, NJ 07601-5521 | 2017-07-07 |
| 1740803436 | Chana B Getter | Social Worker | 140 Prospect Ave Ste 2, Hackensack, NJ 07601-2257 | 2020-05-28 |
| 1114568094 | Mark Thomas Insetta | Social Worker | 344 Summit Ave, Hackensack, NJ 07601-1430 | 2019-10-02 |
| 1578090213 | Jillian Kaufman | Social Worker | 214 State St, 207, Hackensack, NJ 07601-5500 | 2017-05-12 |
| 1619429883 | Courtney Angeles | Social Worker | 214 State St, Hackensack, NJ 07601-5500 | 2016-11-03 |
| 1457773517 | Judith Ann Solomon | Social Worker | 30 Prospect Avenue, Hackensack, NJ 07601 | 2014-01-09 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on SPECIALIZED THERAPY ASSOCIATES LLC.
| 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.