Active NPIOrganization

Archetype Psychological Services, LLC

Community/Behavioral Health in West Orange, New Jersey

NPI Number1952964611
Practice location
444 Northfield Ave, West Orange, NJ 07052-3012
Fax
—
Last updated
April 18, 2019

Archetype Psychological Services, LLC is a healthcare organization based in West Orange, NJ. Archetype Psychological Services, LLC practices in West Orange, NJ. The NPI Number for Archetype Psychological Services, LLC is 1952964611. The current practice location address for Archetype Psychological Services, LLC is 444 Northfield Ave, West Orange, NJ 07052-3012 and can be reached out via phone at 646-820-5477.

Provider Profile Details

NPI Number
1952964611
Provider Name
Archetype Psychological Services, LLC
Provider Entity Type
Organization
Address
444 Northfield Ave, West Orange, NJ 07052-3012
Phone Number
646-820-5477
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Wendy Wilson-Poth, PHD · Owner · 646-820-5477
Provider Enumeration Date
April 18, 2019
Last Update Date
April 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
444 Northfield Ave
West Orange, NJ 07052-3012
Zip
07052-3012
Phone Number
646-820-5477
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
111 Allen St
Netcong, NJ 07857-1222
City
Netcong
State
NJ
Zip
07857-1222
Phone Number
973-527-4464

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · 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 Archetype Psychological Services, LLC?

The NPI number of Archetype Psychological Services, LLC is 1952964611. It was assigned on April 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Archetype Psychological Services, LLC?

Archetype Psychological Services, LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Archetype Psychological Services, LLC practice?

The practice location is 444 Northfield Ave, West Orange, NJ 07052-3012. The office can be reached at 646-820-5477 (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 1952964611 directly on the NPPES registry website.

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