Psychodiagnostics

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5052 Issued in NJ

Legal business name

PSYCHODIAGNOSTICS

Practice address

115 Pine St
Ridgewood, NJ 07450-1619

Phone

(862) 210-9043

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Steven Hertler, PSY. D.

Title

Owner

Phone

(862) 210-9043

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1932578614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "862-210-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501619",
            "telephone_number": "862-210-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHODIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "HERTLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-210-9043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michele Pryslak, NP
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• Psychiatric Medicine Consultants of New Jersey LLC
• Psychiatry on Video LLC
• Psychological & Neuropsychological Services LLC
• Psychological Group of Northern NJ PC
• Psychology Group of Northern New Jersey
• Psychotherapy Associates of New Jersey
• Psychotherapy Center of New Jersey

• 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 Sep 23, 2015; 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.