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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHANILL MEDINA
NPI 1104414895
Marriage & Family Therapist in Teaneck, NJ

Active since January 07, 2021
121 CEDAR LN STE 102, TEANECK, NJ 07666(201) 357-9885 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, Jul 9, 2026, Apr 29, 2026 and 7 more (10 updates tracked since 2021).

About Chanill Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANILL MEDINA (NPI 1104414895) is an individual marriage & family therapist in Teaneck, New Jersey, licensed in New Jersey (37FI00255300) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104414895
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHANILL MEDINA
Location Address121 CEDAR LN STE 102Teaneck, NJ 07666-4457
Mailing Address121 Cedar Ln Ste 102Teaneck, NJ 07666-4457 · (201) 357-9885
Phone(201) 357-9885
Sole ProprietorYes
Enumeration DateJanuary 7, 2021
Last NPPES UpdateAugust 13, 202610 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1104414895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in NJ · 37FI00255300✔ Licensed in NY · 002774
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
121 CEDAR LN STE 102, Teaneck, NJ 07666
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Other Identifiers 1

Medicaid1230891NJ

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN GOTTESMAN PSY.D.
Psychologist (Clinical)
121 CEDAR LN STE 102
TEANECK, NJ 07666
Bergen County (914) 236-0832
TROY PATTERSON
Case Manager/Care Coordinator
121 CEDAR LN STE 102
TEANECK, NJ 07666
Bergen County (833) 538-2735
LETAPEL CORPORATION
Social Worker (Clinical)
121 CEDAR LN STE 102
TEANECK, NJ 07666
Bergen County (551) 255-2854
GENERATIONAL WELLNESS CENTER
Marriage & Family Therapist
121 CEDAR LN STE 102
TEANECK, NJ 07666
Bergen County (201) 357-9885
RACHAEL GOTTESMAN
Social Worker (Clinical)
121 CEDAR LN STE 102
TEANECK, NJ 07666
Bergen County (845) 581-0875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanill Medina's NPI number?

The NPI number for Chanill Medina is 1104414895. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Chanill Medina located?

Chanill Medina practices at 121 Cedar Ln Ste 102, Teaneck, NJ 07666. The listed phone number is (201) 357-9885.

What is Chanill Medina's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Chanill Medina was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.