Healthcare Provider Details

I. General information

NPI: 1659621936
Provider Name (Legal Business Name): AARON BRINEN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 SPEAR ST
METUCHEN NJ
08840-2126
US

IV. Provider business mailing address

122 SPEAR ST
METUCHEN NJ
08840-2126
US

V. Phone/Fax

Practice location:
  • Phone: 215-565-5147
  • Fax:
Mailing address:
  • Phone: 215-565-5147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number35SI00807800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS017131
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number028092
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3740
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS017131
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: