Center for Counseling & Personal Growth, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00468300 Issued in NJ

Legal business name

CENTER FOR COUNSELING & PERSONAL GROWTH, LLC

Practice address

21 E High St
Somerville, NJ 08876-2320

Phone

(908) 307-1842

NPI assigned

Oct 6, 2009

Last updated

Jul 1, 2024By 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. Kelly Stankiewicz, PHDNPI 1891923645

Title

Psychologist

Phone

(908) 307-1842

Specialties & licenses 2

Addresses

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.

• Kelly K Stankiewicz, PHD

  • Psychologist
  • Hillsborough, NJ
  • NPI 1891923645
  NPD Authorized official

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1750616983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD STE 317",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441246",
            "telephone_number": "908-307-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762320",
            "telephone_number": "908-307-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COUNSELING & PERSONAL GROWTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "STANKIEWICZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "908-307-1842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00385500",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00468300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Somerville, NJ
• Providers in Somerville, 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, 2024; 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.