Nicolas R Short
Counselor, Mental Health in Glen Rock, New Jersey
1609613827- Practice location
- 266 Harristown RD Ste 209, Glen Rock, NJ 07452-3321
- Phone
- 201-564-7331
- Fax
- —
- Last updated
- July 15, 2024
Nicolas Robert Short is a Counselor, Mental Health based in Glen Rock, NJ. Nicolas Robert Short practices in Glen Rock, NJ. The NPI Number for Nicolas Robert Short is 1609613827 and holds a License No. 37av00804300 (NJ). The current practice location address for Nicolas Robert Short is 266 Harristown RD Ste 209, Glen Rock, NJ 07452-3321 and can be reached out via phone at 201-564-7331.
Provider Profile Details
- NPI Number
- 1609613827
- Provider Name
- Nicolas Robert Short
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 266 Harristown RD Ste 209, Glen Rock, NJ 07452-3321
- Phone Number
- 201-564-7331
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 15, 2024
- Last Update Date
- July 15, 2024
- Certification Date
- July 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 266 Harristown RD Ste 209
Glen Rock, NJ 07452-3321 - City
- Glen Rock
- State
- New Jersey
- Zip
- 07452-3321
- Phone Number
- 201-564-7331
Provider Business Mailing Address Details
- Address
- 150 Main St Apt 830
Hackensack, NJ 07601-7381 - City
- Hackensack
- State
- NJ
- Zip
- 07601-7381
License Information
- License Number
- 37av00804300
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Glen Rock, NJ
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Frequently Asked Questions
What is the NPI number of Nicolas R Short?
The NPI number of Nicolas R Short is 1609613827. It was assigned on July 15, 2024 and is currently active in the NPPES registry.
What is the specialty of Nicolas R Short?
Nicolas R Short is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37av00804300.
Where does Nicolas R Short practice?
The practice location is 266 Harristown RD Ste 209, Glen Rock, NJ 07452-3321. The office can be reached at 201-564-7331 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609613827 directly on the NPPES registry website.