Shore Psychological Healthcare LLC
Psychologist, Clinical in Brick, New Jersey
1477563534- Practice location
- 220 Jack Martin Boulvard, Suite E2, Brick, NJ 08724
- Phone
- 732-920-3434
- Fax
- 732-920-2447
- Last updated
- January 28, 2026
Shore Psychological Healthcare LLC is a healthcare organization based in Brick, NJ. Shore Psychological Healthcare LLC practices in Brick, NJ. The NPI Number for Shore Psychological Healthcare LLC is 1477563534 and holds a License No. 4245 (NJ). The current practice location address for Shore Psychological Healthcare LLC is 220 Jack Martin Boulvard, Suite E2, Brick, NJ 08724 and can be reached out via phone at 732-920-3434 and via fax at 732-920-2447.
Provider Profile Details
- NPI Number
- 1477563534
- Provider Name
- Shore Psychological Healthcare LLC
- Provider Entity Type
- Organization
- Address
- 220 Jack Martin Boulvard, Suite E2, Brick, NJ 08724
- Phone Number
- 732-920-3434
- Fax Number
- 732-920-2447
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Kristine C. Keane, PSYD · Director · 732-920-3434
- Provider Enumeration Date
- August 9, 2006
- Last Update Date
- January 28, 2026
- Certification Date
- January 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Jack Martin Boulvard
Suite E2
Brick, NJ 08724 - City
- Brick
- State
- New Jersey
- Zip
- 08724
- Phone Number
- 732-920-3434
- Fax Number
- 732-920-2447
Provider Business Mailing Address Details
- Address
- 220 Jack Martin Boulvard
Suite E2
Brick, NJ 08724 - City
- Brick
- State
- NJ
- Zip
- 08724
- Phone Number
- 732-920-3434
- Fax Number
- 732-920-2447
License Information
- License Number
- 4245
- License State
- NJ
- Taxonomy
- Psychologist, Clinical · 103TC0700X · 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 Shore Psychological Healthcare LLC?
The NPI number of Shore Psychological Healthcare LLC is 1477563534. It was assigned on August 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Shore Psychological Healthcare LLC?
Shore Psychological Healthcare LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 4245.
Where does Shore Psychological Healthcare LLC practice?
The practice location is 220 Jack Martin Boulvard, Suite E2, Brick, NJ 08724. The office can be reached at 732-920-3434 (phone) or 732-920-2447 (fax).
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 1477563534 directly on the NPPES registry website.