Healthcare Provider Details

I. General information

NPI: 1932076619
Provider Name (Legal Business Name): NEUROINSIGHT PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 S 19TH ST
KENILWORTH NJ
07033-1605
US

IV. Provider business mailing address

PO BOX 95
KENILWORTH NJ
07033-0095
US

V. Phone/Fax

Practice location:
  • Phone: 732-444-8110
  • Fax:
Mailing address:
  • Phone: 732-444-8110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State

VIII. Authorized Official

Name: CARL PAPANDREA
Title or Position: FOUNDER & LICENSED PSYCHOLOGIST
Credential: PSYD
Phone: 732-444-8110