Organization Active NPI

Highlands Psychological Services, LLC

  • Professional Counselor
  • Newton, NJ
National Provider Identifier
1790924199
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00292700 Issued in NJ
Legal business name
HIGHLANDS PSYCHOLOGICAL SERVICES, LLC
Practice address
228 Andover Sparta Rd
Newton, NJ 07860-9759
Phone
(973) 786-5534
Fax
(973) 579-9007
NPI assigned
Feb 10, 2009
Last updated
Feb 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Bonnie Dirksion, LPC
Title
Owner
Phone
(973) 786-5534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00292700 NJ Primary

Addresses

Primary practice location

228 Andover Sparta Rd
Newton, NJ 07860-9759

Mailing address

228 Andover Sparta Rd
Newton, NJ 07860-9759
Phone (973) 786-5534

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1790924199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ANDOVER SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609759",
            "telephone_number": "973-786-5534",
            "fax_number": "973-579-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 ANDOVER SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609759",
            "telephone_number": "973-786-5534",
            "fax_number": "973-579-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "DIRKSION",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-786-5534",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00292700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.