Active NPI
Psychotherapy and Psychological Consulting, LLC
- Clinical Psychologist
- Highland Park, NJ
National Provider Identifier
1366996373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100305600
- Legal business name
- PSYCHOTHERAPY AND PSYCHOLOGICAL CONSULTING, LLC
- Practice address
- 85 Raritan Ave Ste 420
Highland Park, NJ 08904-2439 - Phone
- (732) 524-8600
- Fax
- (646) 583-8600
- NPI assigned
- Aug 8, 2016
- 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. Leslie J Newport, PSY.D.
- Title
- Owner/Director
- Phone
- (732) 524-8600
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-13764 | NJ | |
| Clinical Psychologist | 103TC0700X | 35S100305600 | NJ | Primary |
Addresses
Primary practice location
85 Raritan Ave Ste 420
Highland Park, NJ 08904-2439
Mailing address
85 Raritan Ave Ste 420
Highland Park, NJ 08904-2439
Phone (732) 524-8600
National Provider Directory
National Provider DirectoryLocations
85 Raritan Ave
Ste 420
Highland Park, NJ 08904
Phone (732) 249-8191
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": "1470614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470614400000",
"number": "1366996373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 RARITAN AVE STE 420",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042439",
"telephone_number": "732-524-8600",
"fax_number": "646-583-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 RARITAN AVE STE 420",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042439",
"telephone_number": "732-524-8600",
"fax_number": "646-583-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOTHERAPY AND PSYCHOLOGICAL CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A",
"authorized_official_last_name": "NEWPORT",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "732-524-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-13-13764",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100305600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.