Healthcare Provider Details

I. General information

NPI: 1093680548
Provider Name (Legal Business Name): CBT FOR ANXIETY AND OCD RELIEF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 HIGH MOUNTAIN RD STE 201
FRANKLIN LAKES NJ
07417-2930
US

IV. Provider business mailing address

808 HIGH MOUNTAIN RD STE 201
FRANKLIN LAKES NJ
07417-2930
US

V. Phone/Fax

Practice location:
  • Phone: 914-372-6779
  • Fax:
Mailing address:
  • Phone: 914-372-6779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY DEANGELIS
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 914-372-6779