FAIRLAWN BEHAVIORAL ASSOCIATES (NPI# 1952773392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952773392 |
| Entity Type | Organization |
| Organization Name | FAIRLAWN BEHAVIORAL ASSOCIATES |
| Practice Address |
15-01 Broadway Suite 10b Fair Lawn NJ 07410-6003 |
| Mailing Address |
Po Box 809 Teaneck NJ 07666-0809 |
| Practice Telephone | 2017947733 |
| Practice Fax Number | 2017947735 |
| Mailing Telephone | 2012898455 |
| Mailing Fax Number | 2012437874 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | MOHSAN JAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8458212605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
15-01 BROADWAY SUITE 10B |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813391 | Ramesh C Gupta | Internal Medicine | 15-01 Broadway, Suite 28, Fair Lawn, NJ 07410-6003 | 2005-12-29 |
| 1649752221 | Emelita D Paragas | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410 | 2018-08-30 |
| 1154869733 | Beena Patel | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410 | 2017-02-03 |
| 1861876419 | Fairlawn Behavioral Associates LLC | Psychologist | 15-01 Broadway, Suite# 10b, Fair Lawn, NJ 07410-6003 | 2015-07-14 |
| 1720400476 | Donald H Kutner Do LLC | Anesthesiology | 15-01 Broadway, Suite 34, Fair Lawn, NJ 07410-6003 | 2014-01-15 |
| 1023350238 | Imedical Associates, LLC | Internal Medicine | 15-01 Broadway, Suite 32, Fair Lawn, NJ 07410-6003 | 2013-03-26 |
| 1205125655 | Sovereign Medical Group LLC | Internal Medicine | 15-01 Broadway, Suite 1 & 3, Fair Lawn, NJ 07410 | 2011-04-06 |
| 1922300326 | Ma Grace Espinas | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410-6003 | 2010-11-17 |
| 1750607008 | Rachel Carrie Mandel | Dentist | 15-01 Broadway, Fair Lawn, NJ 07410-6003 | 2010-04-12 |
| 1407184914 | Barry Jansen PC | Podiatrist | 15-01 Broadway, Suite 11, Fair Lawn, NJ 07410-6003 | 2009-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217691 | Ryan Levy | Social Worker | 2-19 Lyons Ave, Fair Lawn, NJ 07410-1163 | 2020-08-24 |
| 1134767106 | Nataly Ebid | Social Worker | 40-14 Knott Ter, Fair Lawn, NJ 07410-5322 | 2019-12-20 |
| 1043783293 | Maya Ludman | Social Worker | 10-14 Saddle River Rd Fl 2, Fair Lawn, NJ 07410-5728 | 2019-01-09 |
| 1467924522 | Arnez Crockett | Social Worker | 33-11 Broadway Ste 203, Fair Lawn, NJ 07410-4638 | 2018-12-28 |
| 1215438502 | Mindy Beth Schachter, Lcsw, Psya, LLC | Social Worker | 14-25 Plaza Rd Ste 2-3, Fair Lawn, NJ 07410-3546 | 2018-02-22 |
| 1952818866 | Shirley Leibowitz, Lcsw, LLC | Social Worker | 26-07 Broadway Ste 16d, Fair Lawn, NJ 07410-3833 | 2018-01-02 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1124458815 | Sarah Frost | Social Worker | 24-06 Broadway, Fair Lawn, NJ 07410-3038 | 2013-11-18 |
| 1942636311 | Rosa Taccetta | Social Worker | 33-11 Broadway 208, Fair Lawn, NJ 07410 | 2013-09-17 |
| 1063846376 | Patricia Comly | Social Worker | 12-19 River Rd, Fair Lawn, NJ 07410-1843 | 2013-08-23 |
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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.