WISE OWL THERAPY (NPI# 1891164646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891164646 |
| Entity Type | Organization |
| Organization Name | WISE OWL THERAPY |
| Practice Address |
12-15 Broadway Suite 2a Fair Lawn NJ 07410-2031 |
| Mailing Address |
768 Goffle Rd Hawthorne NJ 07506-2854 |
| Practice Telephone | 9735448574 |
| Mailing Telephone | 9735448574 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | COURTNEY ALVAREZ (THERAPIST) |
| Authorized Official Telephone | 9735448574 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 44SC05591200 | NJ | Agencies |
| Street Address |
12-15 BROADWAY SUITE 2A |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053344077 | Ramin Barry Cocoziello | Specialist | 12-15 Broadway, Suite E, Fair Lawn, NJ 07410-2031 | 2006-07-10 |
| 1003261504 | Natasha G Baron | Psychiatry & Neurology | 12-15 Broadway, 2a, Fair Lawn, NJ 07410-2031 | 2016-05-03 |
| 1104263516 | Fair Lawn Behavioral Health, LLC | Psychiatry & Neurology | 12-15 Broadway, Fair Lawn, NJ 07410-2031 | 2013-05-24 |
| 1295929867 | Dr Ramin B Cocoziello Md PC | Specialist | 12-15 Broadway, Suite E, Fair Lawn, NJ 07410-2031 | 2007-08-28 |
| 1437363108 | Joseph John Olechowski | Dentist | 12-15 Broadway, Suite C, Fair Lawn, NJ 07410-2031 | 2007-05-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1710334362 | Children's Aid and Family Services, Inc. | Community/Behavioral Health | 22-08 Route 208, Suite 7, Fair Lawn, NJ 07410-2609 | 2016-05-24 |
| 1285096263 | Children's Aid and Family Services, Inc. | Community/Behavioral Health | 22-08 Route 208, Suite 7, Fair Lawn, NJ 07410-2609 | 2016-03-28 |
| 1043599566 | Teresa Ann Martino | Community/Behavioral Health | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2011-08-15 |
| 1134246879 | Care Plus Nj, Inc | Community/Behavioral Health | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2007-03-26 |
| 1396862934 | Care Plus Nj, Inc | Community/Behavioral Health | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2007-03-26 |
| 1669599304 | Care Plus Nj, Inc | Community/Behavioral Health | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2007-03-26 |
| 1154448454 | Care Plus Nj, Inc | Community/Behavioral Health | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1699374009 | Apluscare, LLC | Community/Behavioral Health | 98 Stratton St S, Piscataway, NJ 08854-3641 | 2020-10-19 |
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1821603986 | New Life New Hope | Community/Behavioral Health | 31 S Browning Ave # A, Somerdale, NJ 08083-1109 | 2020-09-14 |
| 1154933208 | Tajlearning Resource Corp | Community/Behavioral Health | 172 Minetta Rd, Somerset, NJ 08873-3709 | 2020-08-20 |
| 1528670619 | North Jersey Friendship House Inc | Community/Behavioral Health | 45 Urban Club Rd, Wayne, NJ 07470-2000 | 2020-08-19 |
| 1447862875 | Ymca of Greater Monmouth County | Community/Behavioral Health | 485 Adelphia Rd, Freehold, NJ 07728-8815 | 2020-08-18 |
| 1639781065 | Ymca of Greater Monmouth County | Community/Behavioral Health | 613 Hope Rd Bldg 42, Eatontown, NJ 07724-1278 | 2020-08-18 |
| 1487266839 | Shore Integrated Counseling LLC | Community/Behavioral Health | 1010 State Route 71 Ste 2a, Spring Lake, NJ 07762-3223 | 2020-08-18 |
| 1295347870 | Next Wind LLC | Community/Behavioral Health | 75 Grand Ave Ste 101, Englewood, NJ 07631-3522 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.