KEYSTONE PSYCHOLOGICAL GROUP, LLC


Address: 315 E Northfield Rd, Suite 3a, Livingston, NJ 07039-4896
Phone: 9175490215

KEYSTONE PSYCHOLOGICAL GROUP, LLC (NPI# 1942642095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942642095
Entity Type Organization
Organization Name KEYSTONE PSYCHOLOGICAL GROUP, LLC
Other Organization Name KEYSTONE PSYHCOLOGICAL GROUP
Practice Address 315 E Northfield Rd
Suite 3a
Livingston
NJ 07039-4896
Mailing Address 1861 Lake Ave
Scotch Plains
NJ 07076-2919
Practice Telephone 9175490215
Enumeration Date 2013-07-17
Last Update Date 2013-07-17
Authorized Official Name DR. CHRISTINE MACMILLAN (MEDICAL DIRECTOR)
Authorized Official Telephone 9175490215
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
37PC00038100 NJ Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
44SC00138300 NJ Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 37FI00160600 NJ Behavioral Health & Social Service Providers
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
25MA07642800 NJ Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Keystone Psyhcological Group Doing Business As Name - Organization

Office Location

Street Address 315 E NORTHFIELD RD
SUITE 3A
City LIVINGSTON
State NJ
Zip Code 07039-4896

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437154085 Charles Michael Kurtzer Podiatrist 315 E Northfield Rd, Ste 1b, Livingston, NJ 07039-4800 2005-06-19
1669087748 Dynamic Foot & Ankle Podiatrist 315 E Northfield Rd, Livingston, NJ 07039-4896 2020-09-15
1578920179 Naturally Healing LLC Internal Medicine 315 E Northfield Rd, Suite 1c, Livingston, NJ 07039-4896 2016-01-27
1982093605 Allison Berry Social Worker 315 E Northfield Rd, Livingston, NJ 07039-4896 2015-01-19
1114345444 Karen Piwowar Family Medicine 315 E Northfield Rd, Livingston, NJ 07039-4896 2014-04-03
1265874416 Pamela Babik Social Worker 315 E Northfield Rd, Livingston, NJ 07039-4896 2013-07-29
1639420102 Becker Spine and Sports Institute LLC Chiropractor 315 E Northfield Rd, Suite 1d, Livingston, NJ 07039-4896 2012-09-25
1295081552 Livingston Eye Associates,l.l.c. Specialist 315 E Northfield Rd, Suite 2b, Livingston, NJ 07039-4896 2012-07-24
1811259609 Ellen Margaret Ryan Counselor 315 E Northfield Rd, Livingston, NJ 07039-4896 2012-06-08
1083980023 Hili Rosen Internal Medicine 315 E Northfield Rd, Livingston, NJ 07039-4896 2012-03-23
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NPI Name Taxonomy Address Enumeration
1770184111 Dentistry With A Smile, Inc. Durable Medical Equipment & Medical Supplies 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 2020-11-03
1326692104 Amy Beth Lipsey Social Worker Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 2019-07-30
1427543412 Bodypro Physical Therapy, LLC Physical Therapist 5 Country Club Ct, Livingston, NJ 07039 2018-06-22
1538665245 Kushal Shukla Student in an Organized Health Care Education/Training Program 20 Canoe Brook Dr, Livingston, NJ 07039 2018-04-02
1629594643 Northeast Pulmonary and Sleep Medical LLC Specialist 506 Regent Street, Suite A, Livingston, NJ 07039 2017-08-22
1184154098 Snf Old Short Hills Operating Company, LLC Skilled Nursing Facility 348 East Cedar Street, Livingston, NJ 07039 2017-06-13
1093254690 Suzanne M Verbesky Dpm LLC Clinic/Center 44 West Mcclellan Avenue, Livingston, NJ 07039 2017-02-15
1649723743 Essex County Weightloss, LLC Internal Medicine 5 Regent St Ste 509, Livingston, NJ 07039 2016-07-26
1912352824 Grant Arzumanov Student in an Organized Health Care Education/Training Program 94 Old Short Hills Rd., Livingston, NJ 07039 2016-04-28
1891158671 Journey's Eve Counseling LLC Counselor 2 Northfield Rd, 210a, Livingston, NJ 07039 2016-03-30
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437624202 Genpsych Livingston Psychiatry & Neurology 5 Regent St Ste 511, Livingston, NJ 07039-1682 2018-10-09
1942573464 M.salim Chowdhrey Md Pa Psychiatry & Neurology 201 South L Ivingston Ave, Livingston, NJ 07039-2010 2012-02-14
1215195995 Michael Schneck Psychiatry & Neurology 77 N Mitchell Ave, Livingston, NJ 07039-2143 2008-05-29
1891952933 Alvin Friedland Md Pa Psychiatry & Neurology 201 South Livingston Avenue, Livingston, NJ 07039 2008-05-16
1770708737 Alvin Friedland Psychiatry & Neurology 201 S Livingston Av, 2d, Livingston, NJ 07039-4043 2007-04-16
1104049741 David Zeman Psychiatry & Neurology 29 North Livingston Ave, Livingston, NJ 07039 2007-04-11
1679605612 Atlantic Healthcare, LLC Psychiatry & Neurology 107 E Mount Pleasant Ave, Suite 107, Livingston, NJ 07039-3027 2007-03-12
1619005378 Lisa Ilene Robbins Psychiatry & Neurology 127 E Mount Pleasant Ave, Livingston, NJ 07039-3005 2007-03-02
1518092568 Mohammed Salim Chowdhrey Psychiatry & Neurology 201 South Livingston Ave, Suite 1b, Livingston, NJ 07039-4043 2007-02-22
1558400390 Howard Steven Rudominer Psychiatry & Neurology 59 Springbrook Rd, Livingston, NJ 07039-3331 2007-02-06
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Competitor

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City LIVINGSTON
Zip Code 07039

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Dataset Information

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.

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