Active NPI
Empower Health Center
- Clinical Psychologist
- Lakewood, NJ
National Provider Identifier
1285137703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100589800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryNPI 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.