Garden State Psychological Associates, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GARDEN STATE PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

49 Brant Ave Ste 3
Clark, NJ 07066-1550

Phone

(908) 358-6176

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By 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

Christine Mahoney, MA, LPC, ACSNPI 1851746242

Title

Partner/Owner

Phone

(732) 965-7255

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.

• Christine Mahoney, L.P.C.

  • Professional Counselor
  • Fanwood, NJ
  • NPI 1851746242
  Authorized official Same address or phone

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1942701198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BRANT AVE STE 3",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661550",
            "telephone_number": "908-358-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BRANT AVE STE 3",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661550",
            "telephone_number": "908-358-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "732-965-7255",
        "authorized_official_credential": "MA, LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Garabo, D.C.
• Rebecca Jean Garay
• Femy Garcia, LSW
• Garden State Dental Design Inc
• Garden State Medical Multi Specialty Group PA
• Gastrointestinal Medical Experts, LLC (Gme, LLC)
• Stephanie Gay
• Michael Genereux, D.O.
• Alin George, DPT
• Christine Ila Gerber, MD

• Mental Health Counselor in Clark, NJ
• Providers in Clark, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.