Organization Active NPI

Empower Health Center

  • Clinical Psychologist
  • Lakewood, NJ
National Provider Identifier
1285137703
Registry record updated Mar 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100589800 Issued in NJ
Legal business name
EMPOWER HEALTH CENTER
Practice address
195 Walnut Ave
Lakewood, NJ 08701-5669
Phone
(718) 305-1613
NPI assigned
Mar 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2018

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

Authorized official

Name
Dr. Joseph Aron Shafer, PH.D.
Title
Clinical Psychologist
Phone
(718) 305-1613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 35S100589800 NJ Primary

Addresses

Primary practice location

195 Walnut Ave
Lakewood, NJ 08701-5669

Mailing address

195 Walnut Ave
Lakewood, NJ 08701-5669
Phone (718) 305-1613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520726400000",
    "number": "1285137703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WALNUT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015669",
            "telephone_number": "718-305-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WALNUT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015669",
            "telephone_number": "718-305-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-11",
        "last_updated": "2018-03-11",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ARON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-305-1613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100589800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2018; 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.