Reserved for You Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RESERVED FOR YOU PSYCHOLOGICAL SERVICES, LLC

Practice address

8 Campus Dr. Arbor Circle South
Suite 105
Parsippany, NJ 07054

Phone

(844) 777-8498

Fax

(844) 777-8498

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jada Philips, PHDNPI 1700396223

Title

Ceo/Owner

Phone

(844) 777-8498

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jada A Philips, PHD

  • Clinical Psychologist
  • Parsippany, NJ
  • NPI 1700396223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1649862616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CAMPUS DR. ARBOR CIRCLE SOUTH",
            "address_2": "SUITE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "844-777-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CAMPUS DR. ARBOR CIRCLE SOUTH",
            "address_2": "SUITE 105",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "844-777-8498",
            "fax_number": "844-777-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESERVED FOR YOU PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-07-02",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "PHILIPS",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "844-777-8498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.