Roanoke Psychological Services Inc

LBN: Roanoke Psychological Services Inc
Roanoke Psychological Services Inc is an health care organization with primary practice located at 71 South Orange Ave Suite 350, South Orange NJ 07079. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Roanoke Psychological Services Inc can be contacted via phone (646) 942-6852, or through Garner, Michele via phone (646) 942-6852.

Contact Information

Primary practice address
71 South Orange Ave Suite 350 South Orange NJ 07079
Phone: (646) 942-6852
Fax: (718) 761-3094
Website:
Map and Directions
Authorized official contact:
Name: Garner, Michele Licensed Clinical Social Worker (LCSW)
Phone: (646) 942-6852

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3177 New Jersey

Profile Details

NPI number 1871681221
LBN Legal business name Roanoke Psychological Services Inc
DBA Doing business as
Authorized official Garner, Michele Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 12th, 2008 - about 17 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 1871681221 NPPES
New Jersey MEDICAID 7218907

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