Center for Specialized Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5779 Issued in NJ

Legal business name

CENTER FOR SPECIALIZED PSYCHOLOGY, LLC

Practice address

306 Washington St Ste 304
Hoboken, NJ 07030-5162

Phone

(201) 637-5962

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 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. Nadimeh Badaan

Title

Owner

Phone

(201) 572-6191

Specialties & licenses 1

Addresses

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.

• Nina Shinway, PSY.D.

  • Clinical Psychologist
  • Hoboken, NJ
  • NPI 1588191100
  NPD

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1659885499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON ST STE 304",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON ST STE 304",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305162",
            "telephone_number": "201-637-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPECIALIZED PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "BADAAN",
        "authorized_official_first_name": "NADIMEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-572-6191",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Carter, RN, IBCLC
• Michele Jillian Carunchio, DDS, MD
• Catherine Maria Castro
• Simonne Cazoe
• Marianne T. Centanni, M.D.
• Dean Richard Cerio, M.D.
• Rohan Chabra
• Chantal Chacho
• Diana Chacon, PH.D.
• Nancy Chan Chu

• Clinical Psychologist in Hoboken, NJ
• Providers in Hoboken, 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 Nov 30, 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.