Organization Active NPI

Princeton Psychological Center

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1700042074
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4191 Issued in NJ
Legal business name
PRINCETON PSYCHOLOGICAL CENTER
Practice address
9 Charlton St
Princeton, NJ 08540-5231
Phone
(609) 658-0368
NPI assigned
Aug 5, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Craig Matthew Callan, PSY.D.NPI 1740457993
Title
Director
Phone
(732) 735-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4521 NJ
Clinical Psychologist 103TC0700X 4191 NJ Primary

Addresses

Primary practice location

9 Charlton St
Princeton, NJ 08540-5231

Mailing address

9 Charlton St
Princeton, NJ 08540-5231
Phone (609) 658-0368

National Provider Directory

National Provider Directory

Locations

9 Charlton St
Princeton, NJ 08540
Phone (609) 454-3214

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1700042074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHARLTON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405231",
            "telephone_number": "609-658-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CHARLTON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405231",
            "telephone_number": "609-658-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-735-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4521",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.