Organization Active NPI

Lacey Family Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Neptune, NJ
National Provider Identifier
1477097947
Registry record updated Aug 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35SI00560200 Issued in NJ
Legal business name
LACEY FAMILY PSYCHOLOGICAL SERVICES, LLC
Practice address
3600 Route 66 Ste 150
Neptune, NJ 07753-2645
Phone
(732) 800-7676
Fax
(732) 800-7573
NPI assigned
Dec 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2021

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

Authorized official

Name
Dr. Benjamin Steinberg, PSY.D.
Title
Licensed Psychologist
Phone
(732) 800-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35SI00560200 NJ Primary

Addresses

Primary practice location

3600 Route 66 Ste 150
Neptune, NJ 07753-2645

Mailing address

1333 Lee Way
Forked River, NJ 08731-4122
Phone (732) 800-7676

Other identifiers 1

IdentifierTypeStateIssuer
0541095MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630195200000",
    "number": "1477097947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 LEE WAY",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314122",
            "telephone_number": "732-800-7676",
            "fax_number": "732-700-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66 STE 150",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-800-7676",
            "fax_number": "732-800-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY FAMILY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-800-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "35SI00560200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0541095",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

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