Healthcare Provider Details

I. General information

NPI: 1255115242
Provider Name (Legal Business Name): THE WOMEN'S PSYCHOTHERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 W MAIN ST
FREEHOLD NJ
07728-2144
US

IV. Provider business mailing address

90 W MAIN ST
FREEHOLD NJ
07728-2144
US

V. Phone/Fax

Practice location:
  • Phone: 732-443-0566
  • Fax:
Mailing address:
  • Phone: 732-443-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAUREN GERARDI
Title or Position: MANAGING MEMBER
Credential: PHD
Phone: 732-443-0566