| Health Psychology Group, Llc | |
|
10 W Hanover Ave Suite 110 Randolph NJ 07869-4221 | |
| (973) 895-4799 | |
| (973) 895-4796 |
| Full Name | Health Psychology Group, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10 W Hanover Ave, Randolph, New Jersey |
| Authorized Official Name and Position | Jakob Steinberg (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9738954799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Psychology Group, Llc 10 W Hanover Ave Suite 110 Randolph NJ 07869-4221 Ph: (973) 895-4799 | Health Psychology Group, Llc 10 W Hanover Ave Suite 110 Randolph NJ 07869-4221 Ph: (973) 895-4799 |
| NPI Number | 1619078789 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/13/2007 |
| Medicare PECOS PAC ID | 6103092168 |
|---|---|
| Medicare Enrollment ID | O20111222000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619078789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00260400 (New Jersey) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 26NN04737300 (New Jersey) | Secondary |
| Provider Name | Jakob Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952402018 PECOS PAC ID: 5698717213 Enrollment ID: I20050524001107 |
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