TABULA RASA PSYCHOTHERAPY LLC NPI 1194489161

NPI Information

NPI: 1194489161
Provider Name: TABULA RASA PSYCHOTHERAPY, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
190 WILEY AVE
PLAINFIELD, NJ
ZIP 07062
Phone: (973) 637-0375
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TABULA RASA PSYCHOTHERAPY, LLC is a mental health (including community mental health center) clinic center in Plainfield, NJ. TABULA RASA PSYCHOTHERAPY, LLC NPI is 1194489161. The provider is registered as an organization entity type.

The provider's business location address is:

190 WILEY AVE
PLAINFIELD, NJ
ZIP 07062-343
Phone: (973) 637-0375

The provider's authorized official is Jennifer Charice Sumerlin .
The authorized official title is Lic. Marriage & Family Therapist and has the following contact phone number (973) 637-0375.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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