Healthcare Provider Details
I. General information
NPI: 1689569501
Provider Name (Legal Business Name): JOYE CAROLINE ANESTIS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 GEORGE ST
NEW BRUNSWICK NJ
08901-2020
US
IV. Provider business mailing address
683 HOES LANE WEST RUTGERS SCHOOL OF PUBLIC HEALTH
PISCATAWAY NJ
08854
US
V. Phone/Fax
- Phone: 732-235-6800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 54954 |
| License Number State | MS |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 35SI00778600 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: