Active NPI
Laurie Terres PSYD, LLC
- Clinical Psychologist
- Red Bank, NJ
National Provider Identifier
1164295663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- LAURIE TERRES PSYD, LLC
- Practice address
- 43 W Front St Ste 11
Red Bank, NJ 07701-1600 - Phone
- (732) 556-7404
- Fax
- (732) 456-5071
- NPI assigned
- Nov 6, 2023
- Last updated
- Nov 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurie M Terres, PSY.D.
- Title
- Clinical Psychologist/Owner
- Phone
- (732) 556-7404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
43 W Front St Ste 11
Red Bank, NJ 07701-1600
Mailing address
43 W Front St Ste 11
Red Bank, NJ 07701-1600
Phone (732) 556-7404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Red Bank, NJ
- NPI 1710069588
-
- Clinical Social Worker
- Ewing, NJ
- NPI 1255492708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1164295663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 W FRONT ST STE 11",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011600",
"telephone_number": "732-556-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 W FRONT ST STE 11",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011600",
"telephone_number": "732-556-7404",
"fax_number": "732-456-5071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURIE TERRES PSYD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A",
"authorized_official_last_name": "TERRES",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "732-556-7404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.