Tatewide Clinical Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00294300 Issued in NJ

Legal business name

TATEWIDE CLINICAL SERVICES, LLC

Practice address

345 Somerset St
Suite L5
North Plainfield, NJ 07060-4774

Phone

(908) 391-7315

NPI assigned

Jun 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Luis A Guerreiro, PSY. D

Title

Psychologist9

Phone

(908) 391-7315

Specialties & licenses 1

Addresses

Tax ID family

Statewide Clinical Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Statewide Clinical Services, LLC

  • Clinical Psychologist
  • Phillipsburg, NJ
  • NPI 1508254137
  NPD tax ID

Locations

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404000000000",
    "number": "1417362468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5247",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071050247",
            "telephone_number": "908-391-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SOMERSET ST",
            "address_2": "SUITE L5",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604774",
            "telephone_number": "908-391-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATEWIDE CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2014-06-29",
        "status": "A",
        "authorized_official_last_name": "GUERREIRO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST9",
        "authorized_official_telephone_number": "908-391-7315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00294300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Pain Management and Spine Center LLC
• Roy Howard Steinfeld, D.C.
• Capiece A Stephens-Shivers
• Shauniese Sutton
• Syed a. Siddiq, MD, LLC
• The Arc of Somerset County
• The Arc of Somerset County
• The Devereux Foundation
• Courtney Kruse Thomas
• Charles Anthony Torres

• Psychologist in North Plainfield, NJ
• Providers in North Plainfield, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.