NPIMap

Organization Active NPI

Princeton Center for Therapy and Assessment, LLC

  • Psychologist
  • Princeton, NJ
National Provider Identifier
1215354758
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3997 Issued in NJ
Legal business name
PRINCETON CENTER FOR THERAPY AND ASSESSMENT, LLC
Practice address
92 Nassau St
Princeton, NJ 08542-4530
Phone
(609) 924-5500
NPI assigned
Mar 22, 2014
Last updated
Mar 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Authorized official

Name
Caryn Kennelly, PSY.D.NPI 1871779355
Title
Vice President
Phone
(609) 924-5500

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3995 NJ
Psychologist 103T00000X 3997 NJ Primary
Psychologist 103T00000X 3995 NJ

Addresses

Primary practice location

92 Nassau St
Princeton, NJ 08542-4530

Mailing address

92 Nassau St
Princeton, NJ 08542-4530
Phone (609) 924-5500

National Provider Directory

National Provider Directory
Tax ID family
Princeton Center for Therapy and Assessment LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

92 Nassau St
Princeton, NJ 08542
Phone (609) 924-5500

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395446400000",
    "number": "1215354758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NASSAU ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424530",
            "telephone_number": "609-924-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NASSAU ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424530",
            "telephone_number": "609-924-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CENTER FOR THERAPY AND ASSESSMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A",
        "authorized_official_last_name": "KENNELLY",
        "authorized_official_first_name": "CARYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "609-924-5500",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "3995",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3997",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.