Organization Active NPI

Basking Ridge Counseling and Therapy Associates

  • Clinical Psychologist
  • Millington, NJ
National Provider Identifier
1750651881
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI02353 Issued in NJ
Legal business name
BASKING RIDGE COUNSELING AND THERAPY ASSOCIATES
Practice address
59 E Rayburn Rd
Millington, NJ 07946-1503
Phone
(908) 647-6611
Fax
(908) 647-5013
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. David Eric Rosenthal, PH.D,
Title
Partner
Phone
(908) 647-6611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X SI02353 NJ Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SC00275 NJ

Addresses

Primary practice location

59 E Rayburn Rd
Millington, NJ 07946-1503

Mailing address

59 E Rayburn Rd
Millington, NJ 07946-1503
Phone (908) 647-6611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1750651881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E RAYBURN RD",
            "city": "MILLINGTON",
            "state": "NJ",
            "postal_code": "079461503",
            "telephone_number": "908-647-6611",
            "fax_number": "908-647-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E RAYBURN RD",
            "city": "MILLINGTON",
            "state": "NJ",
            "postal_code": "079461503",
            "telephone_number": "908-647-6611",
            "fax_number": "908-647-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASKING RIDGE COUNSELING AND THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-647-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D,"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI02353",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC00275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.