| Lacey Family Psychological Services, Llc | |
|
3600 Route 66 Ste 150 Neptune NJ 07753-2645 | |
| (732) 800-7676 | |
| (732) 800-7573 |
| Full Name | Lacey Family Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3600 Route 66 Ste 150, Neptune, New Jersey |
| Authorized Official Name and Position | Benjamin Steinberg (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7328007676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Family Psychological Services, Llc 1333 Lee Way Forked River NJ 08731-4122 Ph: (732) 800-7676 | Lacey Family Psychological Services, Llc 3600 Route 66 Ste 150 Neptune NJ 07753-2645 Ph: (732) 800-7676 |
| NPI Number | 1477097947 |
|---|---|
| Provider Enumeration Date | 12/18/2016 |
| Last Update Date | 08/29/2021 |
| Certification Date | 08/29/2021 |
| Medicare PECOS PAC ID | 5193008308 |
|---|---|
| Medicare Enrollment ID | O20170214002117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477097947 | NPI | - | NPPES |
| 0541095 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35SI00560200 (New Jersey) | Primary |
| Provider Name | Benjamin Samuel Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578812814 PECOS PAC ID: 6002199213 Enrollment ID: I20171113002546 |
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