MEDICARE: CLARITY BEACON PSYCHOLOGY GROUP LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1255222477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARITY BEACON PSYCHOLOGY GROUP LLC

Provider Business Mailing Address
First Line	:	42 MARINERS CV
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1293
Country	:	US
Telephone Number	:	917-407-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 MARINERS CV
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1293
Country	:	US
Telephone Number	:	917-407-3441
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LESIA RUGLASS
Credential	:
Telephone Number	:	917-407-3441

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	01/16/2026

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