Active NPI
Specialized Psychological Services
- Clinical Psychologist
- Short Hills, NJ
National Provider Identifier
1508239484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 153-081
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.