Provider Demographics
NPI:1841588407
Name:CHITTY, JAMES MARTIN (LCSW PSYCHOANALYST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:CHITTY
Suffix:
Gender:M
Credentials:LCSW PSYCHOANALYST
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Mailing Address - Street 1:189 ELM ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3145
Mailing Address - Country:US
Mailing Address - Phone:908-232-1115
Mailing Address - Fax:908-232-1126
Practice Address - Street 1:189 ELM ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3145
Practice Address - Country:US
Practice Address - Phone:908-232-1115
Practice Address - Fax:908-232-1126
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ44SC05395700102L00000X, 1041C0700X
NY078092-1102L00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst