Active NPIIndividual providerSole proprietor

Dr. Damian Petino, PSYD

Psychologist in Mt Arlington, New Jersey

NPI Number1801301981
Practice location
200 Valley RD Ste 104, Mt Arlington, NJ 07856-1320
Fax
—
Last updated
December 11, 2017

Damian Petino is a Psychologist based in Mt Arlington, NJ. Damian Petino practices in Mt Arlington, NJ and has the professional credentials of PSYD. The NPI Number for Damian Petino is 1801301981 and holds a License No. 35SI00545300 (NJ). The current practice location address for Damian Petino is 200 Valley RD Ste 104, Mt Arlington, NJ 07856-1320 and can be reached out via phone at 732-841-5847.

Provider Profile Details

NPI Number
1801301981
Provider Name
Damian Petino
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
200 Valley RD Ste 104, Mt Arlington, NJ 07856-1320
Phone Number
732-841-5847
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 11, 2017
Last Update Date
December 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Valley RD Ste 104
Mt Arlington, NJ 07856-1320
Zip
07856-1320
Phone Number
732-841-5847
Mt Arlington, NJ 07856Get directions →

Provider Business Mailing Address Details

Address
420 Rock Ridge RD
Lake Hopatcong, NJ 07849-2468
City
Lake Hopatcong
State
NJ
Zip
07849-2468

License Information

License Number
35SI00545300
License State
NJ
Taxonomy
Psychologist · 103T00000X · 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 Dr. Damian Petino, PSYD?

The NPI number of Dr. Damian Petino, PSYD is 1801301981. It was assigned on December 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Damian Petino, PSYD?

Dr. Damian Petino, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00545300.

Where does Dr. Damian Petino, PSYD practice?

The practice location is 200 Valley RD Ste 104, Mt Arlington, NJ 07856-1320. The office can be reached at 732-841-5847 (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 1801301981 directly on the NPPES registry website.

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