Organization Active NPI

Clinical Health Psychological Services, LLC

  • Adult Mental Health Clinic/Center
  • Toms River, NJ
National Provider Identifier
1508374133
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
35S100555900 Issued in NJ
Legal business name
CLINICAL HEALTH PSYCHOLOGICAL SERVICES, LLC
Practice address
665 Commons Way
Toms River, NJ 08755-6431
Phone
(732) 800-1486
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Dr. Rachel Dawn Amodio, PSY.D
Title
Owner
Phone
(732) 800-1486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 35S100555900 NJ Primary

Addresses

Primary practice location

665 Commons Way
Toms River, NJ 08755-6431

Mailing address

665 Commons Way
Toms River, NJ 08755-6431
Phone (732) 800-1486

Other practice location 1

1540 Route 138 Ste 201
Wall Township, NJ 07719-3765
Phone (732) 800-1486

National Provider Directory

National Provider Directory

Locations

665 Commons Way
Toms River, NJ 08755
Phone (732) 505-2075

1540 State Route 138
Ste 201
Wall Township, NJ 07719
Phone (732) 280-0020

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1508374133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-800-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 COMMONS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556431",
            "telephone_number": "732-800-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Route 138 Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077193765",
            "country_code": "US",
            "telephone_number": "732-800-1486",
            "fax_number": "732-515-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL HEALTH PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "AMODIO",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-800-1486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "35S100555900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.