Active NPI
Statewide Clinical Services, LLC
- Clinical Psychologist
- Phillipsburg, NJ
National Provider Identifier
1508254137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00294300
- Legal business name
- STATEWIDE CLINICAL SERVICES, LLC
- Practice address
- 386 S Main St
Phillipsburg, NJ 08865-3051 - Phone
- (908) 391-7315
- NPI assigned
- Jan 6, 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. Luis A Guerreiro, PSY.D.
- Title
- Clinical Director
- Phone
- (908) 391-7315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00294300 | NJ | Primary |
Addresses
Primary practice location
386 S Main St
Phillipsburg, NJ 08865-3051
Mailing address
PO Box 5247
Newark, NJ 07105-0247
Phone (908) 391-7315
National Provider Directory
National Provider Directory- Tax ID family
- Statewide Clinical Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- North Plainfield, NJ
- NPI 1417362468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420502400000",
"number": "1508254137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5247",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071050247",
"telephone_number": "908-391-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 S MAIN ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088653051",
"telephone_number": "908-391-7315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATEWIDE CLINICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2015-01-06",
"status": "A",
"authorized_official_last_name": "GUERREIRO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "908-391-7315",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00294300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
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- Christine Olson Steinberg, DMD
- Amanda Stelma, PT, DPT
- Sten I. Kjellberg,MD,PA
- Renee Sandra Stewart, RD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.