THE PSYCH CENTER LLC (NPI# 1720435654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720435654 |
| Entity Type | Organization |
| Organization Name | THE PSYCH CENTER LLC |
| Practice Address |
103 River Rd Ste 101 Edgewater NJ 07020-1016 |
| Practice Telephone | 2013088995 |
| Mailing Telephone | 2013088995 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | BRIAN LEGG (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2019882388 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PC006208 | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
5576 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
103 RIVER RD STE 101 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877385 | Syed Mateen Ahmed | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2013-05-02 |
| 1902431778 | Nicholas Pelligra | Social Worker | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2020-03-11 |
| 1275013534 | Spr Institute | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2018-08-16 |
| 1083134167 | Premier Pulmonology and Critical Care Medicine LLC | Internal Medicine | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2017-06-21 |
| 1043743891 | West Coast Health and Rehab PC | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2017-04-08 |
| 1174906457 | Marjorie Maye Soledad Mamsaang | Internal Medicine | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2015-07-03 |
| 1972984060 | Brittni Mae Micham | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659432540 | Germaine Anita Griswold | Psychologist | 115 River Rd, Edgewater, NJ 07020-1034 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980371 | Eric Rose | Psychologist | 53 Audubon Rd, Teaneck, NJ 07666-5526 | 2020-10-23 |
| 1629682687 | Cbt Center of Central Nj | Psychologist | 16 Pearl Street, Suite 101 Cbt Center of Central Nj LLC, Metuchen, NJ 08840 | 2020-09-06 |
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1871117499 | Haven Psychotherapy LLC | Psychologist | 25 Terrell Rd, Lambertville, NJ 08530-3428 | 2020-05-29 |
| 1447873781 | Elements Psychological Services, LLC | Psychologist | 36 Cottage Ln, Upper Saddle River, NJ 07458-1306 | 2020-05-21 |
| 1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.