Active NPIIndividual provider

Maria A Fagan, MED, LAC, NCC

Marriage & Family Therapist in Midland Park, New Jersey

NPI Number1821799487
Practice location
666 Godwin Ave Ste And330, Midland Park, NJ 07432-1449
Fax
—
Last updated
March 13, 2023

Maria Annunziata Fagan is a Marriage & Family Therapist based in Midland Park, NJ. Maria Annunziata Fagan practices in Midland Park, NJ and has the professional credentials of MED, LAC, NCC. The NPI Number for Maria Annunziata Fagan is 1821799487 and holds a License No. 37AC00710200 (NJ). The current practice location address for Maria Annunziata Fagan is 666 Godwin Ave Ste And330, Midland Park, NJ 07432-1449 and can be reached out via phone at 551-319-2029.

Provider Profile Details

NPI Number
1821799487
Provider Name
Maria Annunziata Fagan
Credential
MED, LAC, NCC
Provider Entity Type
Individual
Gender
Female
Address
666 Godwin Ave Ste And330, Midland Park, NJ 07432-1449
Phone Number
551-319-2029
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2023
Last Update Date
March 13, 2023
Certification Date
March 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
666 Godwin Ave Ste And330
Midland Park, NJ 07432-1449
Zip
07432-1449
Phone Number
551-319-2029
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
860 Wyckoff Ave Ste And303
Mahwah, NJ 07430-3186
City
Mahwah
State
NJ
Zip
07430-3186
Phone Number
551-319-2029

License Information

License Number
37AC00710200
License State
NJ
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maria A Fagan, MED, LAC, NCC?

The NPI number of Maria A Fagan, MED, LAC, NCC is 1821799487. It was assigned on March 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Maria A Fagan, MED, LAC, NCC?

Maria A Fagan, MED, LAC, NCC is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in NJ under license number 37AC00710200.

Where does Maria A Fagan, MED, LAC, NCC practice?

The practice location is 666 Godwin Ave Ste And330, Midland Park, NJ 07432-1449. The office can be reached at 551-319-2029 (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 1821799487 directly on the NPPES registry website.

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