Active NPI
SVR Psychological Services, PC
- Clinical Psychologist
- Clifton, NJ
National Provider Identifier
1255738415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100324600
- Legal business name
- SVR PSYCHOLOGICAL SERVICES, PC
- Practice address
- 777 Passaic Ave
5TH Floor
Clifton, NJ 07012-1804 - Phone
- (973) 815-0777
- NPI assigned
- Dec 3, 2014
- 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. Samuelle Klein-Von Reiche, PAYD
- Title
- Owner
- Phone
- 99734600099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100324600 | NJ | Primary |
Addresses
Primary practice location
777 Passaic Ave
5TH Floor
Clifton, NJ 07012-1804
Mailing address
777 Passaic Ave
Suite 365
Clifton, NJ 07012-1804
Phone (973) 460-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35S100324600 | Other | NJ | NJ STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
777 Passaic Ave
#365
Clifton, NJ 07012
Phone (973) 460-0099
777 Passaic Ave
Fl 5
Clifton, NJ 07012
Phone (201) 618-3616
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Clifton, NJ
- NPI 1518178789
-
- Clinical Social Worker
- Clifton, NJ
- NPI 1154533065
-
- Clinical Social Worker
- Little Falls, NJ
- NPI 1457556987
-
- Clinical Social Worker
- Little Falls, NJ
- NPI 1134233802
-
- Clinical Social Worker
- Harrington Park, NJ
- NPI 1114437076
Single Specialty
-
- Clinical Social Worker
- Clifton, NJ
- NPI 1710446869
-
- Clinical Social Worker
- Clifton, NJ
- NPI 1831132521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417564800000",
"number": "1255738415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 PASSAIC AVE",
"address_2": "SUITE 365",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121804",
"telephone_number": "973-460-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 PASSAIC AVE",
"address_2": "5TH FLOOR",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121804",
"telephone_number": "973-815-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SVR PSYCHOLOGICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A",
"authorized_official_last_name": "KLEIN-VON REICHE",
"authorized_official_first_name": "SAMUELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "99734600099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PAYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100324600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ STATE LICENSE",
"identifier": "35S100324600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.