Provider Demographics
NPI:1689566218
Name:NEUBURGER, MICHAEL J (LMHC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:NEUBURGER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:YECHIEL
Other - Middle Name:
Other - Last Name:NEUBURGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:312 BRIARCLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-696-7193
Mailing Address - Fax:
Practice Address - Street 1:6 MEDICAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3509
Practice Address - Country:US
Practice Address - Phone:845-425-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health