| Shore Psychological Healthcare Llc | |
|
220 Jack Martin Boulvard Suite E2 Brick NJ 08724 | |
| (732) 920-3434 | |
| (732) 920-2447 |
| Full Name | Shore Psychological Healthcare Llc |
|---|---|
| Speciality | Psychologist |
| Location | 220 Jack Martin Boulvard, Brick, New Jersey |
| Authorized Official Name and Position | Kristine C. Keane (DIRECTOR) |
| Authorized Official Contact | 7329203434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Psychological Healthcare Llc 220 Jack Martin Boulvard Suite E2 Brick NJ 08724 Ph: (732) 920-3434 | Shore Psychological Healthcare Llc 220 Jack Martin Boulvard Suite E2 Brick NJ 08724 Ph: (732) 920-3434 |
| NPI Number | 1477563534 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 05/28/2022 |
| Certification Date | 05/28/2022 |
| Medicare PECOS PAC ID | 6305846379 |
|---|---|
| Medicare Enrollment ID | O20061226000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477563534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4245 (New Jersey) | Primary |
| Provider Name | Kristine C Keane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316945942 PECOS PAC ID: 2062435399 Enrollment ID: I20060112000336 |
| Provider Name | Abbie L Loughran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114216215 PECOS PAC ID: 1557650314 Enrollment ID: I20160517002538 |
| Provider Name | Kathleen Ann Boss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992142673 PECOS PAC ID: 8527201169 Enrollment ID: I20181203003058 |
| Provider Name | Jessica Cavan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285993691 PECOS PAC ID: 9133458615 Enrollment ID: I20190909002269 |
| Provider Name | Alison S O Connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366736233 PECOS PAC ID: 6709294531 Enrollment ID: I20210416000307 |
| Provider Name | Sarah R Fischbein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962071274 PECOS PAC ID: 6002219086 Enrollment ID: I20210728002600 |
| Provider Name | Gina Falcone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881189074 PECOS PAC ID: 6305220641 Enrollment ID: I20220906000342 |
| Provider Name | Kristen Marcaly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780815811 PECOS PAC ID: 9032585443 Enrollment ID: I20221026000247 |
| Provider Name | Edward Macnish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477783645 PECOS PAC ID: 9739526369 Enrollment ID: I20240319001620 |
| Provider Name | Carlie Manto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174276745 PECOS PAC ID: 4284071812 Enrollment ID: I20240319001646 |
| Provider Name | Brenda M Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275871899 PECOS PAC ID: 6901243484 Enrollment ID: I20240319003774 |
| Provider Name | Mallory Sheklian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134856057 PECOS PAC ID: 8820437767 Enrollment ID: I20240411003624 |
| Provider Name | Kelsey Wetmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841775897 PECOS PAC ID: 4981043684 Enrollment ID: I20240415001091 |
Be Present Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 Princeton Ave, Brick, NJ 08724 Phone: 732-245-8512 | |
Neuropsychology & Counseling Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1683 Route 88, Suite A, Brick, NJ 08724 Phone: 732-840-5266 Fax: 732-840-7840 | |
Shore Behavioral Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1613 Rte 88 West Suite6, Brick, NJ 08724 Phone: 732-938-3080 Fax: 732-938-3085 | |
Alomar Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Cabana Dr, Brick, NJ 08723 Phone: 732-620-2069 | |
Community Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Burnt Tavern Rd, Suite 2c, Brick, NJ 08724 Phone: 201-746-5279 | |
Preferred Behavioral Health Consulting Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Route 88 W, Brick, NJ 08724 Phone: 732-458-1700 Fax: 732-785-9500 | |
The Fulton Center For Valued Living, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 445 Brick Blvd Ste 302, Brick, NJ 08723 Phone: 908-415-6354 |