Provider Demographics
NPI:1346090479
Name:MARGO RAPPAPORT INSTITUTE FOR FUNCTIONAL PSYCHOTHERAPY
Entity Type:Organization
Organization Name:MARGO RAPPAPORT INSTITUTE FOR FUNCTIONAL PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:732-518-8803
Mailing Address - Street 1:3196 KENNEDY BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2468
Mailing Address - Country:US
Mailing Address - Phone:732-518-8803
Mailing Address - Fax:
Practice Address - Street 1:3196 KENNEDY BLVD FLOOR 2
Practice Address - Street 2:C
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2468
Practice Address - Country:US
Practice Address - Phone:732-518-8803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health