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JOHAN PEGUERO NPI 1700561727


NPI Information

NPI: 1700561727
Provider Name: JOHAN PEGUERO
Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
855 BROAD AVE APT 41
RIDGEFIELD, NJ
ZIP 07657
Phone: (929) 424-8653
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JOHAN PEGUERO is a group psychotherapy psychologist in Ridgefield, NJ. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. JOHAN PEGUERO NPI is 1700561727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

855 BROAD AVE APT 41
RIDGEFIELD, NJ
ZIP 07657-032
Phone: (929) 424-8653

The provider's authorized official is Johan Peguero .
The authorized official title is Lcsw and has the following contact phone number (929) 424-8653.

The enumeration date for this NPI number is 6/19/2023 and was last updated on 6/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP2701XPsychologistGroup PsychotherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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