Psychservices LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PSYCHSERVICES LLC

Practice address

63 W Main St
Freehold, NJ 07728-2140

Phone

(732) 740-6254

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By 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

Lance Halpern, LPCNPI 1184874679

Title

Licensed Professional Counselor

Phone

(732) 740-6254

Specialties & licenses 1

Addresses

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.

• Lance Halpern, LPC. & SCHOOL PSYCH

  • Mental Health Counselor
  • Freehold, NJ
  • NPI 1184874679
  NPD (past) Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1912551946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINGED FOOT DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269332",
            "telephone_number": "732-740-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282140",
            "telephone_number": "732-740-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHSERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "732-740-6254",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jaclyn A Pryor, LCSW
• Psylent Victory LLC
• Thomas William Puckhaber, DPT
• Cesar A Pulgarin, MSN, FNP-C
• Anitra Puntolillo, LPC
• Julianne Purves, LAT, ATC

• Adolescent and Children Mental Health Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.