COMPREHENSIVE PSYCHOLOGICAL AND WELLNESS CENTER,LLC (NPI# 1821208158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821208158 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE PSYCHOLOGICAL AND WELLNESS CENTER,LLC |
| Practice Address |
424 S Main St Unit F Forked River NJ 08731-4641 |
| Practice Telephone | 6096934343 |
| Mailing Telephone | 6096934343 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | DR. LISA MARIE GRANATO (PHYSICIAN) |
| Authorized Official Telephone | 6096934343 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
35SI00429000 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AMERIHEALTH GROUP NUMBER | 2831657000 | 01 |
| Street Address |
424 S MAIN ST UNIT F |
| City | FORKED RIVER |
| State | NJ |
| Zip Code | 08731-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306726 | Julie Rose Fabiano | Registered Nurse | 424 S Main St, Forked River, NJ 08731-4654 | 2020-08-13 |
| 1942827936 | Julia Rose Thiel | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-06-25 |
| 1285255778 | Jacqueline Gabbard | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-05-06 |
| 1477174522 | Daniel Sweeney | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-04-29 |
| 1538788369 | Froza Mercado Doe | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-04-12 |
| 1013540111 | Gary Bell | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2020-02-17 |
| 1821633975 | Erica Simi | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2019-11-13 |
| 1871151852 | Emily Kulesza | Occupational Therapist | 424 S Main St, Forked River, NJ 08731-4654 | 2019-06-04 |
| 1073072849 | Anita Lynn Hergert | Nurse Practitioner | 424 S Main St, Forked River, NJ 08731-4654 | 2019-03-19 |
| 1285107185 | Nichole Isgro | Chiropractor | 424 S Main St, Forked River, NJ 08731-4654 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716743 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2101, Cornerstone At Lacey Apt 2101, Forked River, NJ 08731 | 2017-08-22 |
| 1770009672 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2102, Cornerstone At Lacey Apt 2102, Forked River, NJ 08731 | 2017-08-22 |
| 1780100685 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2103, Cornerstone At Lacey Apt 2103, Forked River, NJ 08731 | 2017-08-22 |
| 1154847051 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 2104, Cornerstone At Lacey Apt 2104, Forked River, NJ 08731 | 2017-08-22 |
| 1578089488 | The Arc Ocean County Chapter, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 900 Gary Smith Way Apt 4102, Cornerstone At Lacey Apt 4102, Forked, NJ 08731 | 2017-08-22 |
| 1083130181 | George Aboud Saggal | Chiropractor | 424 South Main St, Forked River, NJ 08731 | 2017-08-21 |
| 1811427628 | The Arc, Ocean County Chapter, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Cornerstone At Lacey, 900 Gary Smith Way, Forked River, NJ 08731 | 2017-06-14 |
| 1679953426 | Easter Seals New Jersey | Community/Behavioral Health | 15 Manchester Aveenue; Unit 10, Oakfield Plaza, Forked River, NJ 08731 | 2015-06-08 |
| 1902180292 | Natalia Pokhorukova | Pharmacist | 631 Chelsea St, Forked River, NJ 08731 | 2011-10-05 |
| 1316244783 | Nicole Catherine Eckert | Chiropractor | 540 Lacey Rd Ste 1c, Forked River, NJ 08731 | 2011-02-22 |
| Find all providers in zip 08731 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578855755 | Saiz, M.d. LLC | Psychologist | 2000 Bergenline Ave, Union City, NJ 07087-3350 | 2011-05-06 |
| 1770721854 | Psychiatric Associates of North Jersey, Inc | Psychologist | 288 Leonard Pl, Paramus, NJ 07652-4517 | 2009-01-28 |
| 1891957379 | Marina Moshkovich | Psychologist | Njsp Third and Cass Street, Trenton, NJ 08625 | 2008-06-26 |
| 1912124892 | Jesse Mintz | Psychologist | 10 Auer Ct Ste D, East Brunswick, NJ 08816-5848 | 2007-04-20 |
| 1962628818 | Peter S Mueller, M.d.,p.a | Psychologist | 601 Ewing St # A, Suite B-3, Princeton, NJ 08540-2757 | 2007-04-18 |
| 1861876419 | Fairlawn Behavioral Associates LLC | Psychologist | 15-01 Broadway, Suite# 10b, Fair Lawn, NJ 07410-6003 | 2015-07-14 |
| 1073904801 | Avicenna Medical Center | Psychologist | 129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331 | 2015-02-16 |
| 1902297344 | Princeton Psychiatric Centers, Pa | Psychologist | 256 Bunn Dr, Suite 6, Princeton, NJ 08540-2859 | 2015-02-06 |
| 1639514946 | Deborra M. Torres, Msn Pmhnp LLC | Psychologist | 5 N Main St, Suite A, Medford, NJ 08055-2439 | 2013-05-01 |
| 1851677033 | Valeo Behavioral Health, Inc. | Psychologist | 2911 Route 88, Suite E8, Point Pleasant Boro, NJ 08742-2871 | 2011-11-01 |
| Find all providers with the same taxonomy | ||||
| City | FORKED RIVER |
| Zip Code | 08731 |
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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.