Organization Active NPI

Purepsych, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Livingston, NJ
National Provider Identifier
1962905489
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PUREPSYCH, LLC
Practice address
160 S Livingston Ave Ste 113
Livingston, NJ 07039-3071
Phone
(973) 486-6248
Fax
(973) 486-6249
NPI assigned
Mar 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Dr. Bryan M Niederman, PHDNPI 1700396108
Title
President
Phone
(973) 760-3857

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

160 S Livingston Ave Ste 113
Livingston, NJ 07039-3071

Mailing address

160 S Livingston Ave Ste 113
Livingston, NJ 07039-3071
Phone (973) 486-6248

National Provider Directory

National Provider Directory

Locations

160 S Livingston Ave
Ste 113
Livingston, NJ 07039
Phone (973) 486-6248

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1520726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1962905489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S LIVINGSTON AVE STE 113",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393071",
            "telephone_number": "973-486-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S LIVINGSTON AVE STE 113",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393071",
            "telephone_number": "973-486-6248",
            "fax_number": "973-486-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUREPSYCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-11",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "NIEDERMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-760-3857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.