Avena Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AVENA PSYCHOLOGICAL SERVICES LLC

Practice address

344 Grove St # 4001
Jersey City, NJ 07302-5923

Phone

(212) 906-4495

NPI assigned

Feb 7, 2024

Organization subpart

Yes

Parent organization

AVENA PSYCHOLOGICAL SERVICES PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Jolie Avena, PSYDNPI 1982144846

Title

Owner

Phone

(347) 378-4588

Specialties & licenses 1

Addresses

Other names 1

• Avena Psychological Services LLC Other name

Tax ID family

Avena Psychological Services PLLC2 organizations share this tax ID, including this one

Part of

Avena Psychological Services PLLC

Other organizations with this tax ID 1

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

• Avena Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1043896244
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jolie Avena, PSYD

  • Psychologist
  • New York, NY
  • NPI 1982144846
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1497519722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GROVE ST # 4001",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GROVE ST # 4001",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025923",
            "telephone_number": "212-906-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVENA PSYCHOLOGICAL SERVICES PLLC",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "AVENA",
        "authorized_official_first_name": "JOLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-378-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avena Psychological Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.