Organization Active NPI

Specialized Psychological Services

  • Clinical Psychologist
  • Short Hills, NJ
National Provider Identifier
1508239484
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
153-081 Issued in NJ
Legal business name
SPECIALIZED PSYCHOLOGICAL SERVICES
Practice address
636 Morris Tpke
Suite 2G
Short Hills, NJ 07078-2622
Phone
(973) 564-6097
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Lori Rockmore
Title
Member/Psychologist
Phone
(973) 564-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 153-081 NJ Primary

Addresses

Primary practice location

636 Morris Tpke
Suite 2G
Short Hills, NJ 07078-2622

Mailing address

636 Morris Tpke
Suite 2G
Short Hills, NJ 07078-2622
Phone (973) 564-6097

National Provider Directory

National Provider Directory

Locations

636 Morris Tpke
Ste 2G
Short Hills, NJ 07078
Phone (973) 378-5525

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1508239484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 MORRIS TPKE",
            "address_2": "SUITE 2G",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782622",
            "telephone_number": "973-564-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 MORRIS TPKE",
            "address_2": "SUITE 2G",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782622",
            "telephone_number": "973-564-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "ROCKMORE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-564-6097",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "153-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.