Healthcare Provider Details

I. General information

NPI: 1720945264
Provider Name (Legal Business Name): SUPPORTIVE PSYCHOLOGICAL EVALUATIONS & COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 KINGS RD STE 203
MADISON NJ
07940-2500
US

IV. Provider business mailing address

21 BARRETTA CT
ROSELAND NJ
07068-2100
US

V. Phone/Fax

Practice location:
  • Phone: 973-936-9062
  • Fax: 973-709-8237
Mailing address:
  • Phone: 973-936-9062
  • Fax: 973-709-8237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER EDWARD GUARINO
Title or Position: PRESIDENT
Credential: PHD
Phone: 973-936-9062