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ADVANCED PSYCHOLOGICAL SPECIALISTS LLC NPI 1811070824


NPI Information

NPI: 1811070824
Provider Name: ADVANCED PSYCHOLOGICAL SPECIALISTS, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1 PROSPECT ST # 5-7
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 447-2242
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ADVANCED PSYCHOLOGICAL SPECIALISTS, LLC is a clinical psychologist in Ridgewood, 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. ADVANCED PSYCHOLOGICAL SPECIALISTS, LLC NPI is 1811070824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 PROSPECT ST # 5-7
RIDGEWOOD, NJ
ZIP 07450-404
Phone: (201) 447-2242
Fax: (201) 447-4377

The provider's authorized official is Nancy Just .
The authorized official title is Director and has the following contact phone number (201) 447-2242.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/12/2010.


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
1103G00000XClinical Neuropsychologist103GC0700XNEW JERSEYNo
2103TB0200XPsychologistCognitive & Behavioral103TB0200XNEW JERSEYNo
3103T00000XPsychologist103TP2700XNEW JERSEYNo
4103TP2701XPsychologistGroup Psychotherapy103TP2701XNEW JERSEYNo
5103TS0200XPsychologistSchool103TS0200XNEW JERSEYNo
6103TC0700XPsychologistClinical103TC0700XNEW JERSEYYes

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
1035237MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2=========VOTHERNEW JERSEYBLUE CROSS/BLUE SHIELD

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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