- Practice location
- 1 Main St Ste 314, Eatontown, NJ 07724-3905
- Phone
- 800-605-0612
- Fax
- 800-605-0612
- Last updated
- December 28, 2021
Modern Therapy, LLC is a healthcare organization based in Eatontown, NJ. Modern Therapy, LLC practices in Eatontown, NJ. The NPI Number for Modern Therapy, LLC is 1861910747. The current practice location address for Modern Therapy, LLC is 1 Main St Ste 314, Eatontown, NJ 07724-3905 and can be reached out via phone at 800-605-0612 and via fax at 800-605-0612.
Provider Profile Details
- NPI Number
- 1861910747
- Provider Name
- Modern Therapy, LLC
- Provider Entity Type
- Organization
- Address
- 1 Main St Ste 314, Eatontown, NJ 07724-3905
- Phone Number
- 800-605-0612
- Fax Number
- 800-605-0612
- Primary Taxonomy
- Psychologist · 103T00000X
- Organization Subpart
- No
- Authorized Official
- Brandon Christensen · Executive Director · 732-585-7814
- Provider Enumeration Date
- August 31, 2017
- Last Update Date
- December 28, 2021
- Certification Date
- December 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Main St Ste 314
Eatontown, NJ 07724-3905 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-3905
- Phone Number
- 800-605-0612
- Fax Number
- 800-605-0612
Provider Business Mailing Address Details
- Address
- 1 Main St Ste 314
Eatontown, NJ 07724-3905 - City
- Eatontown
- State
- NJ
- Zip
- 07724-3905
- Phone Number
- 800-605-0612
- Fax Number
- 800-605-0612
License Information
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologists near Eatontown, NJ
View all Psychologists in Eatontown →- Howard D Silverman, PHDPsychologist · NPI 1538232632
- Tamara L Quezada, PSYDPsychologist · NPI 1255225959
- Christine Aspen, LACCounselor, Professional · NPI 1992639058
- Dana R PassarellaBehavior Technician · NPI 1861392243
- Ryan A Lugo, LACCounselor, Mental Health · NPI 1740189539
- Dr. Robert J Hedaya, MDProvider · NPI 1740393628
Frequently Asked Questions
What is the NPI number of Modern Therapy, LLC?
The NPI number of Modern Therapy, LLC is 1861910747. It was assigned on August 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Modern Therapy, LLC?
Modern Therapy, LLC is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Modern Therapy, LLC practice?
The practice location is 1 Main St Ste 314, Eatontown, NJ 07724-3905. The office can be reached at 800-605-0612 (phone) or 800-605-0612 (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 1861910747 directly on the NPPES registry website.