CENTRAL JERSEY PSYCHOLOGICAL SERVICES, LLC (NPI# 1215186184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215186184 |
| Entity Type | Organization |
| Organization Name | CENTRAL JERSEY PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
205 Route 9 N Suite # 6 Freehold NJ 07728-8561 |
| Practice Telephone | 7328455068 |
| Mailing Telephone | 7328455068 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |
| Authorized Official Name | DR. GINA RUDOLPH (OWNER / PSYCHOLOGIST) |
| Authorized Official Telephone | 7328455068 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4513 | NJ | Ambulatory Health Care Facilities |
| Street Address |
205 ROUTE 9 N SUITE # 6 |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548322480 | Lisa Harmon Mollicone | Counselor | 205 Route 9 N, Suite 26, Freehold, NJ 07728-8561 | 2006-12-15 |
| 1215107503 | Gina Rudolph | Psychologist | 205 Route 9 N, Suite # 6, Freehold, NJ 07728-8561 | 2008-03-03 |
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|---|---|---|---|---|
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| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
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| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368863 | Audiology Services Company Usa, LLC | Clinic/Center | 303 W Main St Ste B401, Freehold, NJ 07728-4832 | 2017-10-25 |
| 1831491612 | Melissa Rivera Marano, Psy.d., LLC | Clinic/Center | 501 Iron Bridge Rd, Suite 6, Freehold, NJ 07728-5304 | 2010-11-29 |
| 1457547861 | Orlando Mills Associates Pa | Clinic/Center | 515 Iron Bridge Rd, Freehold, NJ 07728-5300 | 2007-09-19 |
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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.