1518626712 NPI number — MRS. DANIELLE CASTELLANO RAY LPC, NCC

Table of content: MRS. DANIELLE CASTELLANO RAY LPC, NCC (NPI 1518626712)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518626712 NPI number — MRS. DANIELLE CASTELLANO RAY LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAY
Provider First Name:
DANIELLE
Provider Middle Name:
CASTELLANO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518626712
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2467 STATE ROUTE 10 BLDG 35-7B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRIS PLAINS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07950-1354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-224-9584
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5 REGENT STREET
Provider Second Line Business Practice Location Address:
SUITE 511
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-994-1011
Provider Business Practice Location Address Fax Number:
973-994-1220
Provider Enumeration Date:
12/15/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  37PC00740700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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