| Cognitive Workshop | |
|
24 Madison Ln Sicklerville NJ 08081-4409 | |
| (856) 520-5647 | |
| Not Available |
| Full Name | Cognitive Workshop |
|---|---|
| Speciality | Counselor |
| Location | 24 Madison Ln, Sicklerville, New Jersey |
| Authorized Official Name and Position | Jason Bonas (OWNER) |
| Authorized Official Contact | 8565205647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Workshop 24 Madison Ln Sicklerville NJ 08081-4409 Ph: (856) 520-5647 | Cognitive Workshop 24 Madison Ln Sicklerville NJ 08081-4409 Ph: (856) 520-5647 |
| NPI Number | 1144006990 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Medicare PECOS PAC ID | 3870015324 |
|---|---|
| Medicare Enrollment ID | O20250313003443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144006990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jason Bonas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225504558 PECOS PAC ID: 4789106238 Enrollment ID: I20250404002938 |
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