Mid-Atlantic Psychological Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MID-ATLANTIC PSYCHOLOGICAL SERVICES

Practice address

75 Raritan Ave Ste 225
Highland Park, NJ 08904-2442

Phone

(973) 433-5868

NPI assigned

May 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mason Shepherd, PSY.D.NPI 1558903005

Title

President

Phone

(973) 433-5868

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Mason Shepherd, PSY.D.

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1558903005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1508503038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 LIVINGSTON AVE UNIT 7071",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089028003",
            "telephone_number": "973-433-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RARITAN AVE STE 225",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042442",
            "telephone_number": "973-433-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-433-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin E McLaughlin
• Hana Melnik, LCSW
• Susan J Menahem, LCSW
• Stanley Messer, PH.D.
• Metro Pain MD PC
• Eileen Elizabeth Milicia
• Arthur H Miller, MD
• Chani Miller, O.D.
• Tania Mara Miller, PSY.D.
• Howard Mischne

• Adolescent and Children Mental Health Clinic/Center in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.