MARIO H IRIGOYEN LCSW - LLC (NPI# 1831470723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831470723 |
| Entity Type | Organization |
| Organization Name | MARIO H IRIGOYEN LCSW - LLC |
| Practice Address |
61 Grand Ave Englewood NJ 07631-3572 |
| Mailing Address |
76 Thiells Rd Stony Point NY 10980-3420 |
| Practice Telephone | 9146713924 |
| Practice Fax Number | 8459421894 |
| Mailing Telephone | 9146713924 |
| Mailing Fax Number | 8459421894 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Authorized Official Name | MR. MARIO H IRIGOYEN (SOLE MBR) |
| Authorized Official Telephone | 9146713924 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 44SC05377600 | NJ | Agencies |
| Street Address |
61 GRAND AVE |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639295801 | Gustavo Bernardo Mejia | Counselor | 61 Grand Ave, 3rd Floor, Englewood, NJ 07631-3572 | 2007-03-21 |
| 1639698004 | In Young Sohn | Social Worker | 61 Grand Ave, Englewood, NJ 07631 | 2017-09-16 |
| 1881958817 | Buddies of New Jersey, Inc. | Community/Behavioral Health | 61 Grand Ave, 3rd Floor, Englewood, NJ 07631-3572 | 2012-06-25 |
| 1164790796 | A Joseph & Associates LLC | Social Worker | 61 Grand Ave, Englewood, NJ 07631-3572 | 2011-12-10 |
| 1952607608 | Mario Hipolito Irigoyen | Social Worker | 61 Grand Ave, Englewood, NJ 07631-3572 | 2011-01-27 |
| 1821392473 | Hudson River Care and Counseling, LLC | Social Worker | 61 Grand Ave, Third Floor, Englewood, NJ 07631-3572 | 2010-12-22 |
| 1013249770 | Holistic Manual Physical Therapy, Pa | Clinic/Center | 61 Grand Ave, Englewood, NJ 07631-3572 | 2010-02-05 |
| 1891020517 | Lisa Stacey | Social Worker | 61 Grand Ave, Englewood, NJ 07631-3572 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
| 1629699442 | Rachel Cohen Counseling, LLC | Community/Behavioral Health | 1701 E Hampden Ave, Englewood, CO 80113-9274 | 2020-05-04 |
| 1396284915 | Andrea Egert LLC | Community/Behavioral Health | 322 Murray Ave, Englewood, NJ 07631-1420 | 2017-02-15 |
| 1366989600 | Continuum of Colorado | Community/Behavioral Health | 1500 W Hampden Ave Ste 4h, Englewood, CO 80110-2000 | 2017-01-25 |
| 1194183046 | New Beginnings Therapeutic Services, Inc. | Community/Behavioral Health | 611 White Clover Ct, Englewood, OH 45315-7734 | 2016-02-07 |
| 1679947279 | Donna Schwartz, LLC | Community/Behavioral Health | 6081 S. Quebec St., #103, Englewood, CO 80111 | 2015-11-19 |
| 1679942494 | Sueann Ziesk | Community/Behavioral Health | 303 E Kenyon Ave, Englewood, CO 80113-3719 | 2015-09-22 |
| 1851681555 | Counseling Center of The Rockies, LLC | Community/Behavioral Health | 4195 S Broadway, Englewood, CO 80113-4794 | 2011-04-14 |
| 1689041626 | Dawson Thomas, Inc. | Community/Behavioral Health | 304 Inverness Way S, Suite 125, Englewood, CO 80112-5828 | 2015-08-25 |
| 1205202587 | Colorado Neuropsychological Associates, P.C. | Community/Behavioral Health | 10 Inverness Dr E, Englewood, CO 80112-5610 | 2015-08-20 |
| Find all providers in ENGLEWOOD | ||||
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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.