Psycho-Educational Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37PC00359500 Issued in NJ

Legal business name

PSYCHO-EDUCATIONAL ASSOCIATES

Practice address

999 Riverview Dr.
Suite 201
Totowa, NJ 07512

Phone

(973) 460-5160

Fax

(973) 460-5101

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Ruiz, LPC, LCADC, NJCSP

Title

Ceo

Phone

(973) 460-5160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1508228537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 RIVERVIEW DRIVE",
            "address_2": "SUITE 201",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-406-5160",
            "fax_number": "973-406-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 RIVERVIEW DR.",
            "address_2": "SUITE 201",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-460-5160",
            "fax_number": "973-460-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHO-EDUCATIONAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-460-5160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LCADC, NJCSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37PC00359500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.