Clinical Psychotherapy & Consultation, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

35S100512900 Issued in NJ

Legal business name

CLINICAL PSYCHOTHERAPY & CONSULTATION, LLC

Practice address

600 Coventry Dr
Phillipsburg, NJ 08865-1971

Phone

(908) 454-4070

Fax

(908) 454-4071

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Janet Helen Bloodgood, PH.D.NPI 1285992529

Title

Owner/President/Ceo

Phone

(908) 454-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Janet Helen Bloodgood, PH.D.

  • Clinical Psychologist
  • Phillipsburg, NJ
  • NPI 1285992529
  NPD (past) Authorized official
• Patrick John Revello, MA, LPC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1245580976
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1104294024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651971",
            "telephone_number": "908-454-4070",
            "fax_number": "908-454-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651971",
            "telephone_number": "908-454-4070",
            "fax_number": "908-454-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOTHERAPY & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BLOODGOOD",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "908-454-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "35S100512900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "678312",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Chuako, LPC
• Hei Jin Chung, MD
• Chuying Luo, MD LLC
• Sema Dincer Cicitta, RPH
• Connie Citro
• Kenneth A. Cohen, MD
• Abigail Colasacco, MD
• Darryl Coleman, LCSW, LCADC
• Alicia Jean Colossi, OTD,OTR/L
• Complete Care at Brakeley Park LLC

• Community/Behavioral Health Agency in Phillipsburg, NJ
• Providers in Phillipsburg, 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 30, 2016; 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.