Organization Active NPI

Freehold Psychology Group

  • Clinical Psychologist
  • Freehold, NJ
National Provider Identifier
1902907660
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FREEHOLD PSYCHOLOGY GROUP
Practice address
149 W Main St
Freehold, NJ 07728-2051
Phone
(732) 780-9898
Fax
(732) 780-6447
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael G. Miller, PH.D.
Title
General Partner
Phone
(732) 780-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

149 W Main St
Freehold, NJ 07728-2051

Mailing address

149 W Main St
Freehold, NJ 07728-2051
Phone (732) 780-9898

Other names 1

  • Ocean Psychological Former legal business name

National Provider Directory

National Provider Directory

Locations

149 W Main St
Freehold, NJ 07728
Phone (732) 780-6447

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902907660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282051",
            "telephone_number": "732-780-9898",
            "fax_number": "732-780-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282051",
            "telephone_number": "732-780-9898",
            "fax_number": "732-780-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEHOLD PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "732-780-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Psychological",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.