Organization Active NPI

The Center for Stress, Anxiety, and Mood, LLC

  • Clinical Psychologist
  • Summit, NJ
National Provider Identifier
1508454083
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THE CENTER FOR STRESS, ANXIETY, AND MOOD, LLC
Practice address
57 Union PL Ste 315
Summit, NJ 07901-2568
Phone
(973) 845-8896
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Dr. Laura Rindlaub, PHDNPI 1063880433
Title
Founding Member, Co-Director
Phone
(973) 845-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

57 Union PL Ste 315
Summit, NJ 07901-2568

Mailing address

57 Union PL Ste 315
Summit, NJ 07901-2568
Phone (973) 845-8896

Other identifiers 2

IdentifierTypeStateIssuer
1063880433OtherNPI
1710439153OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1508454083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 UNION PL STE 315",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "973-845-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UNION PL STE 315",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012568",
            "telephone_number": "973-845-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR STRESS, ANXIETY, AND MOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "RINDLAUB",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FOUNDING MEMBER, CO-DIRECTOR",
        "authorized_official_telephone_number": "973-845-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063880433",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710439153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.