Advanced Psychological Specialists, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

103TC0700X Issued in NJ

Legal business name

ADVANCED PSYCHOLOGICAL SPECIALISTS, LLC

Practice address

1 Prospect St # 5-7
Ridgewood, NJ 07450-4404

Phone

(201) 447-2242

Fax

(201) 447-4377

NPI assigned

Oct 23, 2006

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Just, PH.D.NPI 1275666562

Title

Director

Phone

(201) 447-2242

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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.

• Nancy Just, PH.D.

  • Clinical Psychologist
  • Ridgewood, NJ
  • NPI 1275666562
  Medicare reassignment Care Compare group NPD Authorized official
• Ellen Reicher, PH.D.

  • Clinical Psychologist
  • Ridgewood, NJ
  • NPI 1740304799
  Medicare reassignment Care Compare group NPD
• Susan E Alexander, PH.D., LLC

  • Clinical Psychologist
  • Blaine, WA
  • NPI 1386665776
  NPD (past)
• Stacy Rosen, PSY.D.

  • Clinical Psychologist
  • New Hope, PA
  • NPI 1962744896
  NPD (past)
• Julie Bright Stewart, PSYD

  • Psychologist
  • New York, NY
  • NPI 1558461848
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1811070824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROSPECT ST # 5-7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504404",
            "telephone_number": "201-447-2242",
            "fax_number": "201-447-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT ST # 5-7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504404",
            "telephone_number": "201-447-2242",
            "fax_number": "201-447-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOLOGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "JUST",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-447-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "103GC0700X",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "103TP2700X",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "103TB0200X",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "103TC0700X",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NJ",
            "license": "103TP2701X",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "103TS0200X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.