Organization Active NPI

Psychological Concepts, P.C.

  • Psychologist
  • Manalapan, NJ
National Provider Identifier
1588869663
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013386 Issued in NY
Legal business name
PSYCHOLOGICAL CONCEPTS, P.C.
Practice address
215 Gordons Corner Rd Ste 2F
Manalapan, NJ 07726-3352
Phone
(732) 972-1379
Fax
(718) 227-7063
NPI assigned
Jun 18, 2007
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Debra B. Drucker, PHDNPI 1174740583
Title
President/Psychologist
Phone
(718) 614-2596

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 013386 NY Primary

Addresses

Primary practice location

215 Gordons Corner Rd Ste 2F
Manalapan, NJ 07726-3352

Mailing address

15 Rowena Rd
Manalapan, NJ 07726-1718
Phone (718) 614-2596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090604000280 NY Part B Supplier - Clinic/Group Practice 9739143462 Receives reassigned benefits from 2 practitioners
Practice locations: Staten Island, NY
O20160506000103 NJ Part B Supplier - Clinic/Group Practice 9739143462 Receives reassigned benefits from 2 practitioners
Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

56 Seguine Ave
Staten Island, NY 10309
Phone (718) 227-7063

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1588869663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROWENA RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077261718",
            "telephone_number": "718-614-2596",
            "fax_number": "718-227-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD STE 2F",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263352",
            "telephone_number": "732-972-1379",
            "fax_number": "718-227-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONCEPTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "DRUCKER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-614-2596",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.