Derek Bacharach, MA
Counselor, Professional in Montclair, New Jersey
1942713359- Practice location
- 94 Valley RD, Montclair, NJ 07042-2211
- Phone
- 973-902-7093
- Fax
- —
- Last updated
- July 20, 2021
Derek Bacharach is a Counselor, Professional based in Montclair, NJ. Derek Bacharach practices in Montclair, NJ and has the professional credentials of MA. The NPI Number for Derek Bacharach is 1942713359 and holds a License No. 37PC00750900 (NJ). The current practice location address for Derek Bacharach is 94 Valley RD, Montclair, NJ 07042-2211 and can be reached out via phone at 973-902-7093.
Provider Profile Details
- NPI Number
- 1942713359
- Provider Name
- Derek Bacharach
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 94 Valley RD, Montclair, NJ 07042-2211
- Phone Number
- 973-902-7093
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 7, 2017
- Last Update Date
- July 20, 2021
- Certification Date
- July 20, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 94 Valley RD
Montclair, NJ 07042-2211 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2211
- Phone Number
- 973-902-7093
Provider Business Mailing Address Details
- Address
- 94 Valley RD
Montclair, NJ 07042-2211 - City
- Montclair
- State
- NJ
- Zip
- 07042-2211
- Phone Number
- 973-902-7093
License Information
- License Number
- 37PC00750900
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Derek Bacharach, MA?
The NPI number of Derek Bacharach, MA is 1942713359. It was assigned on November 7, 2017 and is currently active in the NPPES registry.
What is the specialty of Derek Bacharach, MA?
Derek Bacharach, MA is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00750900.
Where does Derek Bacharach, MA practice?
The practice location is 94 Valley RD, Montclair, NJ 07042-2211. The office can be reached at 973-902-7093 (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 1942713359 directly on the NPPES registry website.