Organization Active NPI

Psychological & Neuropsychological Services LLC

  • Clinic/Center
  • Ridgewood, NJ
National Provider Identifier
1710219126
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
35S100472000 Issued in NJ
Legal business name
PSYCHOLOGICAL & NEUROPSYCHOLOGICAL SERVICES LLC
Practice address
75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261
Phone
(973) 951-3428
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Jeffrey R Cole, PH.D.
Title
Psychologist/Neuropsychologist
Phone
(973) 951-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 35S100472000 NJ Primary

Addresses

Primary practice location

75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261

Mailing address

75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261
Phone (973) 951-3428

National Provider Directory

National Provider Directory

Locations

75 N Maple Ave
Ste 101B
Ridgewood, NJ 07450
Phone (201) 212-5981

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1710219126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE STE 101B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503261",
            "telephone_number": "973-951-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE STE 101B",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503261",
            "telephone_number": "973-951-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & NEUROPSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST/NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "973-951-3428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "35S100472000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.