Rutgers Anxiety Disorders Clinic

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

35SI00364600 Issued in NJ

Legal business name

RUTGERS ANXIETY DISORDERS CLINIC

Practice address

797 Hoes LN W
Piscataway, NJ 08854-8022

Phone

(732) 445-5384

Fax

(732) 445-5230

NPI assigned

Apr 24, 2016

Organization subpart

Yes

Parent organization

RUTGERS, THE STATE UNIVERSITY OF NJAs reported in NPPES

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

Authorized official

Name

Dr. Doreen M Didomenico, PH.D.

Title

Acting Director

Phone

(732) 445-5384

Specialties & licenses 1

Addresses

Part of

Rutgers the State Univ

Locations

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461456000000",
    "number": "1407201759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548022",
            "telephone_number": "732-445-5384",
            "fax_number": "732-445-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548022",
            "telephone_number": "732-445-5384",
            "fax_number": "732-445-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTGERS ANXIETY DISORDERS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUTGERS, THE STATE UNIVERSITY OF NJ",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A",
        "authorized_official_last_name": "DIDOMENICO",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "732-445-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "35SI00364600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RS Sos Piscataway LLC
• Leslie Susan Rubin
• Trevor Rudge, MD
• Silvia Ruiz, LCSW
• Shunethy Russell
• Rutgers Health - Behavioral Health
• Rutgers Health - University Behavioral Health Care
• Rutgers Health - University Behavioral Health Care
• Rutgers Health-RWJ Psychiatry Clinic
• Rutgers Health-RWJ Scleroderma Program

• All providers in Piscataway, NJ
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.