Richard Gaines, Ph.D., Llc

LBN: Richard Gaines, Ph.D., Llc
Richard Gaines, Ph.D., Llc is an health care organization with primary practice located at 88 W Ridgewood Ave , Ridgewood NJ 07450-3199. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Richard Gaines, Ph.D., Llc can be contacted via phone (201) 444-9866, or through Gaines, Richard William via phone (201) 444-9866.

Contact Information

Primary practice address
88 W Ridgewood Ave Ridgewood NJ 07450-3199
Phone: (201) 444-9866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gaines, Richard William PH.D.
Phone: (201) 444-9866

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3956 New Jersey

Profile Details

NPI number 1235497744
LBN Legal business name Richard Gaines, Ph.D., Llc
DBA Doing business as
Authorized official Gaines, Richard William PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2012
Last updated Jun 6th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235497744 NPPES
New Jersey Other 061718 MEDICARE PTAN

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