Archetype Psychological Services, Llc

LBN: Archetype Psychological Services, Llc
Archetype Psychological Services, Llc is an health care organization with primary practice located at 444 Northfield Ave , West Orange NJ 07052-3012. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Archetype Psychological Services, Llc can be contacted via phone (646) 820-5477, or through Wilson-Poth, Wendy via phone (646) 820-5477.

Contact Information

Primary practice address
444 Northfield Ave West Orange NJ 07052-3012
Fax:
Website:
Authorized official contact:
Name: Wilson-Poth, Wendy PHD

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1952964611
LBN Legal business name Archetype Psychological Services, Llc
DBA Doing business as
Authorized official Wilson-Poth, Wendy PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2019
Last updated Apr 18th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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