MEDICARE: DR. TRICIA RAMPERSAD PSYD, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	010697	NJ
2	106H00000X	Marriage & Family Therapist	TPMF379	FL
3	106H00000X	Marriage & Family Therapist	37FI00198300	NJ

General Provider Information

NPI Number	:	1225412281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRICIA RAMPERSAD PSYD, LMFT

Provider Business Mailing Address
First Line	:	PO BOX 748465
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8465
Country	:	US
Telephone Number	:	855-284-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 JOURNAL SQ STE 915
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4007
Country	:	US
Telephone Number	:	973-529-8926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2015
Last Update Date	:	09/27/2023

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