Healthcare Provider Details

I. General information

NPI: 1598223604
Provider Name (Legal Business Name): RPB THERAPY AND ASSESSMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 ROUTE 35 # 3
OCEAN NJ
07712-3537
US

IV. Provider business mailing address

2504 INVERNESS DR
TOMS RIVER NJ
08753-6315
US

V. Phone/Fax

Practice location:
  • Phone: 732-908-7188
  • Fax:
Mailing address:
  • Phone: 201-787-4136
  • 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 Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RADHIKA BIRDI
Title or Position: OWNER
Credential: PSY.D.
Phone: 201-787-4136