Provider Demographics
NPI:1851530026
Name:ACHIEVEMENT THROUGH COUNSELING AND THERAPY
Entity Type:Organization
Organization Name:ACHIEVEMENT THROUGH COUNSELING AND THERAPY
Other - Org Name:FRANCES GURLAND, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:MONASERT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, CSW,CCGC,CAS
Authorized Official - Phone:201-891-3933
Mailing Address - Street 1:362 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1928
Mailing Address - Country:US
Mailing Address - Phone:201-891-3933
Mailing Address - Fax:201-891-6767
Practice Address - Street 1:362 MAIN ST
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1928
Practice Address - Country:US
Practice Address - Phone:201-891-3933
Practice Address - Fax:201-891-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05862700103TB0200X, 103TP0016X, 2084P0800X, 2084P0802X, 2084P0804X, 2084P0805X
NJ25MA071790002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
587794OtherMEDICARE ID - TYPE UNSPECIFIED
NJH10053Medicare UPIN
F96184Medicare UPIN
NJ045502Medicare UPIN