Look up the most recent NPI and PECOS records

Cbt And Psychodynamic Therapy Associates Llc

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Cbt And Psychodynamic Therapy Associates Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1881235497
Provider Type
Organization
Full Name
Cbt And Psychodynamic Therapy Associates Llc

Subpart
No
Enumeration Date
10/4/2019
Last Updated
10/4/2019

Contact Information

Practice Location

245 Walnut Street, Englewood, NJ 07631

(201) 321-4334

Unlisted Fax

Mailing Location

245 Walnut Street, Englewood, NJ 07631

(201) 321-4334

Unlisted Fax

Authorized Official

Portman, Michael E. (Clinical Social Worker (Licensed In)

(201) 321-4334

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Cbt And Psychodynamic Therapy Associates Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Rodriguez, David

Mintz, Susan C

Melendy, Kevin D

Joseph, Anat

Genn, Myra

Rojas, Francine J

Graf, Jennifer

Kliman, Lilly

Niewood, Dina

White, Barbara