Nicole Garcia PHD LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

35SI00461100 Issued in NJ

Legal business name

NICOLE GARCIA PHD LLC

Doing business as

Evolve Psychological Services

Practice address

8 Hillside Ave
Suite 206
Montclair, NJ 07042-2129

Phone

(917) 723-9986

NPI assigned

Jul 29, 2010

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole A Garcia, PHD LLCNPI 1457375255

Title

Owner

Phone

(917) 723-9986

Specialties & licenses 1

Addresses

Other names 1

• Evolve Psychological Services Doing business as

Locations

Practitioners 1

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.

• Nicole Garcia, PH.D.

  • Clinical Psychologist
  • Montclair, NJ
  • NPI 1457375255
  Authorized official Same address or phone

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1609180983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "address_2": "SUITE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "917-723-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE",
            "address_2": "SUITE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "917-723-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GARCIA PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-723-9986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LLC"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "35SI00461100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Elizabeth Newman
• Wendy Gavin Newman, LCSW
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• Joseph Nicastro, LMT
• Nicholas a. Cannarozzi, M.D., P.a.
• Cornelius Ioan Nicoll, M.D.
• NJ Medical Practice PC
• Collins Chibuzo Njoku, MD
• Wangui N Njoroge, OTR
• No More Thunder ABA

• Psychiatric Hospital Unit in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatric Hospital Unit in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.