NPI Code Details Logo

NPI 1508082405

NPI 1508082405 : STRIDES IN PSYCHOTHERAPY, PC : SOMERSET, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508082405
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    STRIDES IN PSYCHOTHERAPY, PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/18/2007
-----------------------------------------------------
    Last Update Date     |    02/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15 CLYDE RD SUITE 102
-----------------------------------------------------
    City                 |    SOMERSET
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08873-3425
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-873-3100
-----------------------------------------------------
    Fax                  |    732-873-3100
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15 CLYDE ROAD SUITE 102
-----------------------------------------------------
    City                 |    SOMERSET
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08873
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-873-3100
-----------------------------------------------------
    Fax                  |    732-873-3100
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. LINDA  TAMM 
-----------------------------------------------------
    Credential           |    PSY.D.
-----------------------------------------------------
    Telephone            |    732-873-5570
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    35S100392600
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    35S100395000
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.