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LITTLE SILVER BEHAVIORAL HEALTH LLC NPI 1508353137


NPI Information

NPI: 1508353137
Provider Name: LITTLE SILVER BEHAVIORAL HEALTH, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
34 SYCAMORE AVE BLDG 2
LITTLE SILVER, NJ
ZIP 07739
Phone: (732) 576-8925
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LITTLE SILVER BEHAVIORAL HEALTH, LLC is a clinical psychologist in Little Silver, NJ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LITTLE SILVER BEHAVIORAL HEALTH, LLC NPI is 1508353137. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34 SYCAMORE AVE BLDG 2
LITTLE SILVER, NJ
ZIP 07739-228
Phone: (732) 576-8925
Fax: (732) 576-8814

The provider's authorized official is David Michael Goldberg .
The authorized official title is President and has the following contact phone number (732) 576-8925.

The enumeration date for this NPI number is 4/19/2018 and was last updated on 4/19/2018.


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 License Number License State Primary
1103TC0700XPsychologistClinical35SI00345400NEW JERSEYYes
21041C0700XSocial WorkerClinical44SL05240800NEW JERSEYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10584746MEDICAIDNEW JERSEY

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

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