NPIMap

Organization Active NPI

Psychological & Holistic Healing Center LLC

  • Psychologist
  • Woodbine, NJ
National Provider Identifier
1336665140
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00500500 Issued in NJ
Legal business name
PSYCHOLOGICAL & HOLISTIC HEALING CENTER LLC
Practice address
185 Petersburg Rd
Woodbine, NJ 08270-9439
Phone
(609) 408-0818
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Authorized official

Name
Dr. Marcel M Tabone, PSY D, MSWNPI 1659432151
Title
Doctor
Phone
(609) 408-0818

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35SI00500500 NJ Primary

Addresses

Primary practice location

185 Petersburg Rd
Woodbine, NJ 08270-9439

Mailing address

PO Box 565
Woodbine, NJ 08270-0565
Phone (609) 408-0818

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1336665140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082700565",
            "telephone_number": "609-408-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PETERSBURG RD",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082709439",
            "telephone_number": "609-408-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & HOLISTIC HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "TABONE",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-408-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D, MSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00500500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbine, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.