Healthcare Provider Details

I. General information

NPI: 1912527425
Provider Name (Legal Business Name): CORRINE R. MCCARTHY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 HACKENSACK AVE
HACKENSACK NJ
07601-6328
US

IV. Provider business mailing address

142 GETTYSBURG WAY
LINCOLN PARK NJ
07035-1823
US

V. Phone/Fax

Practice location:
  • Phone: 201-465-8111
  • Fax:
Mailing address:
  • Phone: 201-390-7812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number024144
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number024144
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35SI00639600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: