Neuroscience Institute for Trauma Inc

Key facts

NPI

1245912450

Entity type

Organization (NPI type 2)

Primary specialty

Psychologist 103T00000X

Legal business name

NEUROSCIENCE INSTITUTE FOR TRAUMA INC

Practice address

777 Passaic Ave Ste 565
Clifton, NJ 07012-1874

Phone

(908) 224-5161

NPI assigned

Aug 7, 2023

Organization subpart

No

Authorized official

Name

Dr. Daniel Cruz, PHD NPI 1851737571

Title

Executive Director

Phone

(908) 224-5161

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Daniel Cruz, PH.D. Psychologist · Morris Plains, NJ · NPI 1851737571
  NPD Authorized official PSYCHOLOGIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1245912450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRESTVIEW CT E",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502003",
            "telephone_number": "201-407-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PASSAIC AVE STE 565",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121874",
            "telephone_number": "908-224-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE INSTITUTE FOR TRAUMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-224-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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