| Clinical Health Psychological Services, Llc | |
|
665 Commons Way Toms River NJ 08755-6431 | |
| (732) 800-1486 | |
| Not Available |
| Full Name | Clinical Health Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 665 Commons Way, Toms River, New Jersey |
| Authorized Official Name and Position | Rachel Dawn Amodio (OWNER) |
| Authorized Official Contact | 7328001486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Health Psychological Services, Llc 665 Commons Way Toms River NJ 08755-6431 Ph: (732) 800-1486 | Clinical Health Psychological Services, Llc 665 Commons Way Toms River NJ 08755-6431 Ph: (732) 800-1486 |
| NPI Number | 1508374133 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 2062777196 |
|---|---|
| Medicare Enrollment ID | O20180521001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508374133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 35S100555900 (New Jersey) | Primary |
| Provider Name | Rachel D Amodio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669858189 PECOS PAC ID: 9436453875 Enrollment ID: I20160205000930 |
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