Healthcare Provider Details

I. General information

NPI: 1265446181
Provider Name (Legal Business Name): RSM PSYCHOLOGY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CANAL POINTE BLVD STE 210
PRINCETON NJ
08540-7169
US

IV. Provider business mailing address

100 CANAL POINTE BLVD STE 210
PRINCETON NJ
08540-7169
US

V. Phone/Fax

Practice location:
  • Phone: 609-895-1070
  • Fax: 609-896-2030
Mailing address:
  • Phone: 609-895-1070
  • Fax: 609-896-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberNJSI02148
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberNJSI02148
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberNJSI02148
License Number StateNJ

VIII. Authorized Official

Name: DR. ROSEMARIE SCOLARO MOSER
Title or Position: DIRECTOR, OWNER
Credential: PHD
Phone: 609-895-1070