Organization Active NPI

Center for Psychology and Counseling

  • Psychologist
  • Kendall Park, NJ
National Provider Identifier
1619187556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00131100 Issued in NJ
Legal business name
CENTER FOR PSYCHOLOGY AND COUNSELING
Practice address
3186 State Route 27
Suite 101
Kendall Park, NJ 08824-1513
Phone
(732) 821-6810
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ellen A. Lacy, PSY.D.
Title
Licensed Psychologist
Phone
(732) 821-6810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35SI00131100 NJ Primary

Addresses

Primary practice location

3186 State Route 27
Suite 101
Kendall Park, NJ 08824-1513

Mailing address

PO Box 1458
Highland Park, NJ 08904-1458
Phone (732) 821-6810

National Provider Directory

National Provider Directory

Locations

3186 State Route 27
Ste 101
Kendall Park, NJ 08824
Phone (732) 230-2529

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619187556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1458",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041458",
            "telephone_number": "732-821-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 STATE ROUTE 27",
            "address_2": "SUITE 101",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241513",
            "telephone_number": "732-821-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-821-6810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00131100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • 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.