Organization Active NPI

South Jersey Center for Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Pitman, NJ
National Provider Identifier
1649493404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH JERSEY CENTER FOR PSYCHOLOGICAL SERVICES, LLC
Practice address
20 S Broadway
Suite 2
Pitman, NJ 08071-1434
Phone
(856) 383-0585
NPI assigned
Apr 10, 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. Katherine Perez-Rivera, PH.D.NPI 1487877247
Title
Licensed Psychologist
Phone
(856) 383-0585

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

20 S Broadway
Suite 2
Pitman, NJ 08071-1434

Mailing address

20 S Broadway
Suite 2
Pitman, NJ 08071-1434
Phone (856) 383-0585

National Provider Directory

National Provider Directory

Locations

20 S Broadway
Ste 2
Pitman, NJ 08071
Phone (856) 383-0585

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649493404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY",
            "address_2": "SUITE 2",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711434",
            "telephone_number": "856-383-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S BROADWAY",
            "address_2": "SUITE 2",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711434",
            "telephone_number": "856-383-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY CENTER FOR PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ-RIVERA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "856-383-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pitman, 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.