NPIMap

Organization Active NPI

Psychological Associates of North Jersey, LLC

  • Counselor
  • Newton, NJ
National Provider Identifier
1356743629
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
44SC05494000 Issued in NJ
Legal business name
PSYCHOLOGICAL ASSOCIATES OF NORTH JERSEY, LLC
Practice address
39B Newton Sparta Rd
Newton, NJ 07860-2773
Phone
(908) 979-1144
Fax
(908) 979-1068
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Miss Heather Knickerbocker, MSW
Title
LCSW
Phone
(908) 979-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 44SC05494000 NJ Primary

Addresses

Primary practice location

39B Newton Sparta Rd
Newton, NJ 07860-2773

Mailing address

254B Mountain Ave
Ste 202
Hackettstown, NJ 07840-2413
Phone (908) 979-1144

National Provider Directory

National Provider Directory
Tax ID family
Psychological Associates of North Jersey LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1356743629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254B MOUNTAIN AVE",
            "address_2": "STE 202",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402413",
            "telephone_number": "908-979-1144",
            "fax_number": "908-979-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39B NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602773",
            "telephone_number": "908-979-1144",
            "fax_number": "908-979-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF NORTH JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "KNICKERBOCKER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "908-979-1144",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC05494000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.