Healthcare Provider Details

I. General information

NPI: 1033581004
Provider Name (Legal Business Name): CENTER FOR PSYCHOLOGICAL ASSESSMENT AND TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2015
Last Update Date: 11/05/2020
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 STATE ROUTE 28 STE 101
BRIDGEWATER NJ
08807-1979
US

IV. Provider business mailing address

PO BOX 541
PITTSTOWN NJ
08867-0541
US

V. Phone/Fax

Practice location:
  • Phone: 908-200-7791
  • Fax: 908-200-7790
Mailing address:
  • Phone: 908-200-7791
  • Fax: 908-200-7790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberNJ 5728
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DR. LOREN B AMSELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PH.D.
Phone: 908-797-2026