Healthcare Provider Details

I. General information

NPI: 1386346732
Provider Name (Legal Business Name): ADAM BENJAMIN HERBERT PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 N STATE RT 17 STE 100
PARAMUS NJ
07652-2648
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 732-982-2888
  • Fax:
Mailing address:
  • Phone: 732-982-2888
  • Fax: 732-694-7622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35SI00709600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: