Autism Diagnosis Group Ca, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AUTISM DIAGNOSIS GROUP CA, P.C.

Practice address

221 River St Ste 9
Hoboken, NJ 07030-5990

Phone

(210) 595-0729

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Shobhan Thakkar

Title

Chief Financial Officer

Phone

(210) 692-4498

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1669296877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 N. ELDRIDGE PKWY.",
            "address_2": "STE N, #423",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77041",
            "telephone_number": "210-595-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RIVER ST STE 9",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305990",
            "telephone_number": "210-595-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM DIAGNOSIS GROUP CA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SHOBHAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "210-692-4498"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina Aurilia
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• Emily Austin
• Autism Diagnosis Group PA
• Autism Diagnosis Group, NJ PC
• Autism Reimagined Center LLC
• Avon RX Inc
• Axis Point Alternative Solutions, Inc.

• 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 Feb 12, 2025; 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.