Psychology for New Jersey, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100256400

Legal business name

PSYCHOLOGY FOR NEW JERSEY, LLC

Practice address

120 Mountain Park Rd
Clifton, NJ 07013-1152

Phone

(973) 742-3113

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Abrams, PHDNPI 1295867729

Title

President

Phone

(973) 742-3113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Michael S Abrams, PHD

  • Clinical Psychologist
  • Clifton, NJ
  • NPI 1295867729
  Medicare reassignment NPD Authorized official
• Kira Lidia Abrams, DO

  • Student in an Organized Health Care Education/Training Program
  • Stratford, NJ
  • NPI 1144918392
  NPD (past)
• Lidia D Dengelegi Abrams, PHD

  • Clinical Psychologist
  • Clifton, NJ
  • NPI 1619009958
  NPD (past)

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1760735286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN PARK RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131152",
            "telephone_number": "973-742-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN PARK RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131152",
            "telephone_number": "973-742-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY FOR NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-742-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "35S100256400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.