NPI Code Detail JSON Logo

1588869663 NPI number — PSYCHOLOGICAL CONCEPTS, P.C.

NPI Number: 1588869663
Health Care Provider/Practitioner: PSYCHOLOGICAL CONCEPTS, P.C.

Information about “1588869663” NPI (PSYCHOLOGICAL CONCEPTS, P.C.) exists in 1588869663 in HTML format HTML  |  1588869663 in plain Text format TXT  |  1588869663 in PDF (Portable Document Format) PDF  |  1588869663 in an XML format XML  formats.

NPI Number : 1588869663 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588869663",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PSYCHOLOGICAL CONCEPTS, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15 ROWENA RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANALAPAN",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07726-1718",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-614-2596",
    "MailingAddressFaxNumber": "718-227-7063",
    "FirstLinePracticeLocationAddress": "215 GORDONS CORNER RD STE 2F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANALAPAN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07726-3352",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-972-1379",
    "PracticeLocationAddressFaxNumber": "718-227-7063",
    "EnumerationDate": "06/18/2007",
    "LastUpdateDate": "09/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DRUCKER",
    "AuthorizedOfficialFirstName": "DEBRA",
    "AuthorizedOfficialMiddleName": "B.",
    "AuthorizedOfficialTitle": "PRESIDENT/PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD",
    "AuthorizedOfficialTelephoneNumber": "718-614-2596",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "013386",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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