Active NPIIndividual provider

Nicole R Amoyal-Pensak, PHD

Psychologist, Clinical in Red Bank, New Jersey

NPI Number1487094959
Practice location
210 Broad St, Red Bank, NJ 07701-2060
Fax
—
Last updated
February 13, 2019

Nicole Rebecca Amoyal-Pensak is a Psychologist, Clinical based in Red Bank, NJ. Nicole Rebecca Amoyal-Pensak practices in Red Bank, NJ and has the professional credentials of PHD. The NPI Number for Nicole Rebecca Amoyal-Pensak is 1487094959 and holds a License No. 35SI00568900 (NJ). The current practice location address for Nicole Rebecca Amoyal-Pensak is 210 Broad St, Red Bank, NJ 07701-2060 and can be reached out via phone at 609-283-2056.

Provider Profile Details

NPI Number
1487094959
Provider Name
Nicole Rebecca Amoyal-Pensak
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
210 Broad St, Red Bank, NJ 07701-2060
Phone Number
609-283-2056
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2013
Last Update Date
February 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Broad St
Red Bank, NJ 07701-2060
Zip
07701-2060
Phone Number
609-283-2056
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
145 Monmouth St
Red Bank, NJ 07701-1237
City
Red Bank
State
NJ
Zip
07701-1237

License Information

License Number
35SI00568900
License State
NJ
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 Nicole R Amoyal-Pensak, PHD?

The NPI number of Nicole R Amoyal-Pensak, PHD is 1487094959. It was assigned on June 28, 2013 and is currently active in the NPPES registry.

What is the specialty of Nicole R Amoyal-Pensak, PHD?

Nicole R Amoyal-Pensak, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00568900.

Where does Nicole R Amoyal-Pensak, PHD practice?

The practice location is 210 Broad St, Red Bank, NJ 07701-2060. The office can be reached at 609-283-2056 (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 1487094959 directly on the NPPES registry website.

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