Van Reipen Counseling and Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100571300 Issued in NJ

Legal business name

VAN REIPEN COUNSELING AND PSYCHOLOGICAL SERVICES

Practice address

70 Van Reipen Ave
Ground FL
Jersey City, NJ 07306-2806

Phone

(201) 780-3512

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kane Tung, PHD

Title

Clinical Psychologist

Phone

(201) 780-3512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1831637917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VAN REIPEN AVE",
            "address_2": "GROUND FL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062806",
            "telephone_number": "201-780-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 VAN REIPEN AVE",
            "address_2": "GROUND FL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062806",
            "telephone_number": "201-780-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN REIPEN COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "KANE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-780-3512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100571300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Jersey City, NJ
• Providers in Jersey City, 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 Feb 8, 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.