Serra Associates LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

SI01593 Issued in NJ

Legal business name

SERRA ASSOCIATES LLC

Practice address

337 Market St
Suite 4
Saddle Brook, NJ 07663-5313

Phone

(201) 880-7920

Fax

(201) 880-7921

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Richard J Mucowski, PHD

Title

Clinical Psychologist

Phone

(201) 880-7920

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1669769303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MARKET ST",
            "address_2": "SUITE 4",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635313",
            "telephone_number": "201-880-7920",
            "fax_number": "201-880-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MARKET ST",
            "address_2": "SUITE 4",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635313",
            "telephone_number": "201-880-7920",
            "fax_number": "201-880-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MUCOWSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-880-7920",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI01593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.