Cornerstone Psychological Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

35SI00497400 Issued in NJ

Legal business name

CORNERSTONE PSYCHOLOGICAL SERVICES

Practice address

1540 Route 138
Building 2, Suite 201
Wall Township, NJ 07719-3763

Phone

(732) 778-5009

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Cydney Jane Terreri, PHD

Title

Psychologist, Registered Agent

Phone

(732) 773-8435

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1770018939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 SHERIDAN DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077537019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ROUTE 138",
            "address_2": "BUILDING 2, SUITE 201",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193763",
            "telephone_number": "732-778-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "TERRERI",
        "authorized_official_first_name": "CYDNEY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, REGISTERED AGENT",
        "authorized_official_telephone_number": "732-773-8435",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "35SI00497400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER (TYPE 1) NPI",
            "identifier": "1932531563",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Samantha Leigh Costanzo, PA-C
• Kayla Costello, RBT
• Cosulich Dermatology 2 LLC (Cosulich Dermatology)
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• Cotler Family Practice, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.