Hackettstown Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HACKETTSTOWN PSYCHOLOGICAL SERVICES

Practice address

486 Schooleys Mountain Rd
Hackettstown, NJ 07840-4000

Phone

(862) 354-4891

Fax

(908) 850-6364

NPI assigned

Sep 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana M De Kleine, MA, LPC, ACS. NCCNPI 1801112529

Title

Owner

Phone

(908) 850-4552

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana M. De Kleine, L.P.C.

  • Professional Counselor
  • Hackettstown, NJ
  • NPI 1801112529
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1093485757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SCHOOLEYS MOUNTAIN RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404000",
            "telephone_number": "862-354-4891",
            "fax_number": "908-850-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SCHOOLEYS MOUNTAIN RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404000",
            "telephone_number": "862-354-4891",
            "fax_number": "908-850-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKETTSTOWN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "DE KLEINE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-850-4552",
        "authorized_official_credential": "MA, LPC, ACS. NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackettstown Medical P.C.
• Hackettstown Midwives
• Hackettstown Open MRI
• Hackettstown Orthopaedic Group
• Hackettstown Pediatrics, LLC
• Hackettstown Radiology Associates
• Hackettstown Radiology Associates LLC
• Hackettstown Regional Medical Center Emergency Medical Services, Inc.
• Hackettstown Rehabilitation Clinic
• Hackettstown School District

• Community/Behavioral Health Agency in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.