Tabula Rasa Psychotherapy, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Plainfield, New Jersey
1194489161- Practice location
- 190 Wiley Ave, Plainfield, NJ 07062-1343
- Phone
- 973-637-0375
- Fax
- —
- Last updated
- October 26, 2021
Tabula Rasa Psychotherapy, LLC is a healthcare organization based in Plainfield, NJ. Tabula Rasa Psychotherapy, LLC practices in Plainfield, NJ. The NPI Number for Tabula Rasa Psychotherapy, LLC is 1194489161. The current practice location address for Tabula Rasa Psychotherapy, LLC is 190 Wiley Ave, Plainfield, NJ 07062-1343 and can be reached out via phone at 973-637-0375.
Provider Profile Details
- NPI Number
- 1194489161
- Provider Name
- Tabula Rasa Psychotherapy, LLC
- Provider Entity Type
- Organization
- Address
- 190 Wiley Ave, Plainfield, NJ 07062-1343
- Phone Number
- 973-637-0375
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Dr. Jennifer Charice Sumerlin, PSYD, LMFT · Lic. Marriage & Family Therapist · 973-637-0375
- Provider Enumeration Date
- October 26, 2021
- Last Update Date
- October 26, 2021
- Certification Date
- October 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 190 Wiley Ave
Plainfield, NJ 07062-1343 - City
- Plainfield
- State
- New Jersey
- Zip
- 07062-1343
- Phone Number
- 973-637-0375
Provider Business Mailing Address Details
- Address
- 190 Wiley Ave
Plainfield, NJ 07062-1343 - City
- Plainfield
- State
- NJ
- Zip
- 07062-1343
- Phone Number
- 973-637-0375
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tabula Rasa Psychotherapy, LLC?
The NPI number of Tabula Rasa Psychotherapy, LLC is 1194489161. It was assigned on October 26, 2021 and is currently active in the NPPES registry.
What is the specialty of Tabula Rasa Psychotherapy, LLC?
Tabula Rasa Psychotherapy, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Tabula Rasa Psychotherapy, LLC practice?
The practice location is 190 Wiley Ave, Plainfield, NJ 07062-1343. The office can be reached at 973-637-0375 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194489161 directly on the NPPES registry website.