Healthcare Provider Details

I. General information

NPI: 1750507935
Provider Name (Legal Business Name): GREGORY MCBRIDE MED, LCADC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 CLARKSVILLE RD SUITE 7A
PRINCETON JCT NJ
08550-5300
US

IV. Provider business mailing address

231 CLARKSVILLE RD SUITE 7A
PRINCETON JCT NJ
08550-5300
US

V. Phone/Fax

Practice location:
  • Phone: 609-275-8855
  • Fax: 609-275-9655
Mailing address:
  • Phone: 609-275-8855
  • Fax: 609-275-9655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00050500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00134100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: