Active NPI
Restorative Therapy Center of New Jersey
- Clinical Psychologist
- Jersey City, NJ
National Provider Identifier
1174477038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- RESTORATIVE THERAPY CENTER OF NEW JERSEY
- Practice address
- 111 Town Square Place
Suite 1201 1036
Jersey City, NJ 07310 - Phone
- (201) 897-2250
- NPI assigned
- Feb 25, 2026
- 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. Megan Deriso, PSY.D.
- Title
- Owner
- Phone
- (201) 897-2250
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 | ||
| Health Service Psychologist | 103TH0100X |
Addresses
Primary practice location
111 Town Square Place
Suite 1201 1036
Jersey City, NJ 07310
Mailing address
111 Town Square Place
Suite 1201 1036
Jersey City, NJ 07310
Phone (201) 897-2250
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Princeton, NJ
- NPI 1174357743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1174477038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 TOWN SQUARE PLACE",
"address_2": "SUITE 1201 1036",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07310",
"telephone_number": "201-897-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TOWN SQUARE PLACE",
"address_2": "SUITE 1201 1036",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07310",
"telephone_number": "201-897-2250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE THERAPY CENTER OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-25",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "DERISO",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-897-2250",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.