Mountainside Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

MOUNTAINSIDE NEUROPSYCHOLOGY, LLC

Practice address

608 Sherwood Pkwy Ste 2D
Mountainside, NJ 07092-2512

Phone

(908) 913-0462

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

Anjuli Bodapati, PHDNPI 1750866869

Title

Owner

Phone

(908) 913-0462

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, and the practitioner matching its NPPES authorized official.

• Anjuli Bodapati, PHD

  • Clinical Neuropsychologist
  • Mountainside, NJ
  • NPI 1750866869
  NPD Authorized official

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1386444065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WOODS END RD",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902908",
            "telephone_number": "845-797-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY STE 2D",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-913-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "BODAPATI",
        "authorized_official_first_name": "ANJULI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-913-0462",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas A Morrison, LAC
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• Katie Motz, CHHC
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• Mountainside Dental Group (Mountainside Family Dental)
• Mountainside Nursing and Rehab BHC Operations
• Mountainside Physical Therapy LLC
• Mountainside Rescue Squad Borough of Mountainside, N.J. (Mountainside Rescue Squad)
• Mountainside Smiles
• Mountainside Wellness, LLC

• Clinical Neuropsychologist in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.