Mr. Thomas B Willingham, MDIV
Counselor, Mental Health in Park Ridge, New Jersey
1992913370- Practice location
- 131 Pascack RD, Park Ridge, NJ 07656-1124
- Phone
- 201-391-1935
- Fax
- —
- Last updated
- July 8, 2007
Thomas Burton Willingham is a Counselor, Mental Health based in Park Ridge, NJ. Thomas Burton Willingham practices in Park Ridge, NJ and has the professional credentials of MDIV. The NPI Number for Thomas Burton Willingham is 1992913370 and holds a License No. 37PC00193400 (NJ). The current practice location address for Thomas Burton Willingham is 131 Pascack RD, Park Ridge, NJ 07656-1124 and can be reached out via phone at 201-391-1935.
Provider Profile Details
- NPI Number
- 1992913370
- Provider Name
- Thomas Burton Willingham
- Credential
- MDIV
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 131 Pascack RD, Park Ridge, NJ 07656-1124
- Phone Number
- 201-391-1935
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 18, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Pascack RD
Park Ridge, NJ 07656-1124 - City
- Park Ridge
- State
- New Jersey
- Zip
- 07656-1124
- Phone Number
- 201-391-1935
Provider Business Mailing Address Details
- Address
- 131 Pascack RD
Park Ridge, NJ 07656-1124 - City
- Park Ridge
- State
- NJ
- Zip
- 07656-1124
- Phone Number
- 201-391-1935
License Information
- License Number (1)
- 37PC00193400
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X · Primary
- License Number (2)
- LMHC002492
- License State (2)
- NY
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
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 Park Ridge, NJ
View all Counselor, Mental Health providers in Park Ridge →Frequently Asked Questions
What is the NPI number of Mr. Thomas B Willingham, MDIV?
The NPI number of Mr. Thomas B Willingham, MDIV is 1992913370. It was assigned on May 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Thomas B Willingham, MDIV?
Mr. Thomas B Willingham, MDIV is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00193400.
Where does Mr. Thomas B Willingham, MDIV practice?
The practice location is 131 Pascack RD, Park Ridge, NJ 07656-1124. The office can be reached at 201-391-1935 (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 1992913370 directly on the NPPES registry website.