CONNECTIONS RESTORED THERAPY, LLC – NPI #1881485605
Clinic/Center

CONNECTIONS RESTORED THERAPY, LLC is an AHC clinic located in SOUTH ORANGE, NJ. NPPES has assigned the NPI number 1881485605 to CONNECTIONS RESTORED THERAPY, LLC on May 13, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on May 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNECTIONS RESTORED THERAPY, LLC below.

NPI Profile for
CONNECTIONS RESTORED THERAPY, LLC

NPI Number
1881485605
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONNECTIONS RESTORED THERAPY, LLC
Primary location
254 WAVERLY PL.
SOUTH ORANGE, NJ 07079
Phone: (973) 255-9188 Fax:
Mailing address
4 S ORANGE AVE
PMB#258
SOUTH ORANGE, NJ 07079-1702
Phone: (973) 255-9188 Fax:
Organization Subpart
No
Authorized Official
TRACY FREDERICKS
OWNER/PSYCHOTHERAPIST
Phone: (973) 255-9188
Updated
Certification Date
May 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.