Active NPIOrganization

Stacom Psychological Services

Psychologist, Clinical in Millburn, New Jersey

NPI Number1205426715
Practice location
407 Essex St, Millburn, NJ 07041-1316
Fax
—
Last updated
January 20, 2021

Stacom Psychological Services is a healthcare organization based in Millburn, NJ. Stacom Psychological Services practices in Millburn, NJ. The NPI Number for Stacom Psychological Services is 1205426715. The current practice location address for Stacom Psychological Services is 407 Essex St, Millburn, NJ 07041-1316 and can be reached out via phone at 650-380-5465.

Provider Profile Details

NPI Number
1205426715
Provider Name
Stacom Psychological Services
Provider Entity Type
Organization
Address
407 Essex St, Millburn, NJ 07041-1316
Phone Number
650-380-5465
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Elizabeth Stacom, PHD · President · 650-380-5465
Provider Enumeration Date
January 20, 2021
Last Update Date
January 20, 2021
Certification Date
January 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
407 Essex St
Millburn, NJ 07041-1316
Zip
07041-1316
Phone Number
650-380-5465
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
23 Pease Ave
Verona, NJ 07044-1401
City
Verona
State
NJ
Zip
07044-1401

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Stacom Psychological Services?

The NPI number of Stacom Psychological Services is 1205426715. It was assigned on January 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Stacom Psychological Services?

Stacom Psychological Services is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Stacom Psychological Services practice?

The practice location is 407 Essex St, Millburn, NJ 07041-1316. The office can be reached at 650-380-5465 (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 1205426715 directly on the NPPES registry website.

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