Organization Active NPI

Value Life Psychological Services, LLC

  • Clinical Psychologist
  • Cedar Grove, NJ
National Provider Identifier
1962438663
Registry record updated Dec 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VALUE LIFE PSYCHOLOGICAL SERVICES, LLC
Practice address
908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263
Phone
(973) 239-0024
Fax
(973) 629-1616
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2009

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

Authorized official

Name
Radha Bhatia, PH.D.NPI 1215969324
Title
President
Phone
(973) 239-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263

Mailing address

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263
Phone (973) 239-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060713000015 NJ Part B Supplier - Clinic/Group Practice 0941213052 Receives reassigned benefits from 3 practitioners
Practice locations: Wayne, NJ; Cedar Grove, NJ; Pompton Plains, NJ; Clifton, NJ; Morris Plains, NJ; Bloomfield, NJ

National Provider Directory

National Provider Directory

Locations

908 Pompton Ave
Ste B2
Cedar Grove, NJ 07009
Phone (973) 239-0024

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

261 Terhune Dr
#P
Wayne, NJ 07470
Phone (973) 835-3871

Practitioners & affiliated clinicians

Practitioners 3

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260662400000",
    "number": "1962438663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-239-0024",
            "fax_number": "973-629-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-239-0024",
            "fax_number": "973-629-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE LIFE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-12-13",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-239-0024",
        "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": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.