A to Z Psychological Services LLC

Organization Active NPI Psychologist · Mullica Hill, NJ

NPI 1831635192 · NPPES record last updated Jan 11, 2017

Key facts

NPI
1831635192
Entity type
Organization (NPI type 2)
Primary specialty
Psychologist 103T00000X
License
35SI00503000 (NJ)
Legal business name
A TO Z PSYCHOLOGICAL SERVICES LLC
Practice address
39 S Main St
Mullica Hill, NJ 08062-9402
Phone
(856) 230-2919
Fax
(710) 977-8292
NPI assigned
Jan 11, 2017
Organization subpart
No

Authorized official

Name
David Angelone, PHD NPI 1669740585
Title
Clinical Director
Phone
(856) 340-9319

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 10

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103T00000X 35SI00503000 NJ Yes

Addresses

Primary practice location

39 S Main St
Mullica Hill, NJ 08062-9402

Mailing address

39 S Main St
Mullica Hill, NJ 08062-9402
Phone (856) 230-2919

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2017.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1831635192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629402",
            "telephone_number": "856-230-2919",
            "fax_number": "710-977-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629402",
            "telephone_number": "856-230-2919",
            "fax_number": "710-977-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "ANGELONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "856-340-9319",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00503000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

All providers in Mullica Hill, NJ · Psychologist in New Jersey

Sources for this page

Verify at the official NPI Registry.