Extensive Psychological Services,Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00021400 Issued in NJ

Legal business name

EXTENSIVE PSYCHOLOGICAL SERVICES,INC

Practice address

20 Gibson PL Ste 206
Freehold, NJ 07728-4837

Phone

(732) 483-4425

Fax

(732) 483-4427

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Carol Monaci Fahad, PHD

Title

President

Phone

(732) 996-2863

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carol Monaci, PHD

  • Professional Counselor
  • Freehold, NJ
  • NPI 1568652808
  NPD

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1346579109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GIBSON PL STE 206",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284837",
            "telephone_number": "732-483-4425",
            "fax_number": "732-483-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GIBSON PL STE 206",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284837",
            "telephone_number": "732-483-4425",
            "fax_number": "732-483-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVE PSYCHOLOGICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "FAHAD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MONACI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-996-2863",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00021400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.