Wellqor Psychological Services Northeast, Pc
LBN: Wellqor Psychological Services Northeast, Pc
Wellqor Psychological Services Northeast, Pc is an health care organization with primary practice located at 1001 Raritan Ave , Highland Park NJ 08904-3667. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Wellqor Psychological Services Northeast, Pc can be contacted via phone (732) 991-1540, or through Vietze, Peter via phone (347) 668-4992.
Contact Information
Primary practice address
1001 Raritan Ave
Highland Park NJ 08904-3667
Phone: (732) 991-1540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1326442567 |
|---|---|
| LBN Legal business name | Wellqor Psychological Services Northeast, Pc |
| DBA Doing business as | |
| Authorized official | Vietze, Peter PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2014 |
| Last updated | Jun 8th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326442567 | NPPES |
| New York | Other | 017065 | PROFESSIONAL LICENSE |
| New York | Other | 35SI00517600 | PROFESSIONAL LICENSE |
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