Healthcare Provider Details

I. General information

NPI: 1831736172
Provider Name (Legal Business Name): ALAN SYTNER PHD, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ARI SYTNER LCSW, PHD

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

764 PALISADE AVE STE 1A
TEANECK NJ
07666-3129
US

IV. Provider business mailing address

88 RECTOR CT
BERGENFIELD NJ
07621-4221
US

V. Phone/Fax

Practice location:
  • Phone: 201-903-2515
  • Fax:
Mailing address:
  • Phone: 843-452-6382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number099645
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06111100
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: