Healthcare Provider Details

I. General information

NPI: 1407428360
Provider Name (Legal Business Name): ANCHORED PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 07/12/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 CATHY LN
FLANDERS NJ
07836-9640
US

IV. Provider business mailing address

PO BOX 216
MENDHAM NJ
07945-0216
US

V. Phone/Fax

Practice location:
  • Phone: 732-882-4649
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA CASCALHEIRA
Title or Position: CO-OWNER
Credential:
Phone: 732-882-4649