Psych-Ed Services, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05357500 Issued in NJ

Legal business name

PSYCH-ED SERVICES, INC

Practice address

781 Commanche LN
Franklin Lakes, NJ 07417-2903

Phone

(201) 847-1054

Fax

(201) 847-9647

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lorenzo Puertas, PSY.D.

Title

Director

Phone

(201) 674-1392

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1780975458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 COMMANCHE LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172903",
            "telephone_number": "201-847-1054",
            "fax_number": "201-847-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 COMMANCHE LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172903",
            "telephone_number": "201-847-1054",
            "fax_number": "201-847-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH-ED SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "PUERTAS",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-674-1392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SL05578500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05357500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04535900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Poltricitsky, PT, DPT, OCS, PCES
• Madison Pomerantz, MD
• Vincentiu Popa, MD
• Ernest Jeffrey Pope, M.D.
• Lydia Joy Presto, PT, DPT
• Rafik Youssef
• Roya Rahimi, PA-C, CNMT
• Irina Raklyar, MD
• Rohit Gouree Ramanath, MD
• Sajani Ramphal, MS PT

• All providers in Franklin Lakes, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.