North Jersey Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00410200 Issued in NJ

Legal business name

NORTH JERSEY PSYCHOLOGICAL SERVICES, LLC

Practice address

348 Franklin St
Bloomfield, NJ 07003-3496

Phone

(973) 429-1317

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By 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

Dr. Nicole Waldron, PSY.D.NPI 1174610182

Title

Psychologist/Owner

Phone

(973) 429-1317

Specialties & licenses 1

Addresses

Locations

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.

• Nicole Ann Waldron, PSY.D.

  • Clinical Psychologist
  • Bloomfield, NJ
  • NPI 1174610182
  Authorized official Same address or phone

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1992007835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 FRANKLIN ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033496",
            "telephone_number": "973-429-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 FRANKLIN ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033496",
            "telephone_number": "973-429-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "973-429-1317",
        "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": "35SI00410200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Bloomfield, NJ
• Providers in Bloomfield, 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 Nov 29, 2010; 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.