Healthcare Provider Details

I. General information

NPI: 1538635560
Provider Name (Legal Business Name): CHELSEA TORRES PSY.D., CMPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 05/02/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 ROUTE 17 NORTH
MAYWOOD NJ
07607
US

IV. Provider business mailing address

371 WALNUT ST
TOWNSHIP OF WASHINGTON NJ
07676-5018
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-4450
  • Fax: 561-996-5729
Mailing address:
  • Phone: 201-280-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35SI00688300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7PC00408200
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7PC00408200
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License Number1246
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: