Healthcare Provider Details

I. General information

NPI: 1003172164
Provider Name (Legal Business Name): SHORT HILLS ASSOC. IN CLINICAL PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MILLBURN AVE STE 1
SPRINGFIELD NJ
07081-1023
US

IV. Provider business mailing address

28 MILLBURN AVE STE 1
SPRINGFIELD NJ
07081-1023
US

V. Phone/Fax

Practice location:
  • Phone: 973-467-9333
  • Fax: 973-467-1145
Mailing address:
  • Phone: 973-467-9333
  • Fax: 973-467-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRY HELFMANN
Title or Position: MANAGING PARTNER
Credential: PSY.D
Phone: 973-467-9333