Psylent Victory LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYLENT VICTORY LLC

Practice address

301 Route 9 N
Freehold, NJ 07728-8562

Phone

(732) 687-6240

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Jerald Cilente, PHD

Title

Owner

Phone

(732) 687-6240

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1356923254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ROUTE 9 N",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288562",
            "telephone_number": "732-687-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ROUTE 9 N",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288562",
            "telephone_number": "732-687-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYLENT VICTORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "CILENTE",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-687-6240",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.