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General NPI Number Information
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NPI Number | 1932076619
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Entity Type | Organization
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Legal Business Name | NEUROINSIGHT PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 31 S 19TH ST
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City | KENILWORTH
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State | NJ
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Zip | 07033-1605
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Country | US
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Telephone | 732-444-8110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95
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City | KENILWORTH
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State | NJ
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Zip | 07033-0095
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Country | US
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Telephone | 732-444-8110
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Fax |
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Authorized Official
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Title or Position | FOUNDER & LICENSED PSYCHOLOGIST
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Name | CARL PAPANDREA
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Credential | PSYD
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Telephone | 732-444-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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