Phoenix Psychological Associates Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00335400 Issued in NJ

Legal business name

PHOENIX PSYCHOLOGICAL ASSOCIATES INC

Practice address

719 Main St
Metuchen, NJ 08840-1438

Phone

(732) 501-2097

Fax

(732) 875-1053

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Barbara A Macfie, LPC, MA, MDIV

Title

Executive Director, Treasurer

Phone

(732) 501-2097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568528388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401438",
            "telephone_number": "732-501-2097",
            "fax_number": "732-875-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401438",
            "telephone_number": "732-501-2097",
            "fax_number": "732-875-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PSYCHOLOGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACFIE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, TREASURER",
        "authorized_official_telephone_number": "732-501-2097",
        "authorized_official_credential": "LPC, MA, MDIV"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00335400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.