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WELLQOR PSYCHOLOGICAL SERVICES NORTHEAST PC NPI 1326442567


NPI Information

NPI: 1326442567
Provider Name: WELLQOR PSYCHOLOGICAL SERVICES NORTHEAST, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1001 RARITAN AVE
HIGHLAND PARK, NJ
ZIP 08904
Phone: (732) 991-1540
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WELLQOR PSYCHOLOGICAL SERVICES NORTHEAST, PC is a clinical psychologist in Highland Park, NJ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. WELLQOR PSYCHOLOGICAL SERVICES NORTHEAST, PC NPI is 1326442567. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 RARITAN AVE
HIGHLAND PARK, NJ
ZIP 08904-667
Phone: (732) 991-1540

The provider's authorized official is Peter Vietze .
The authorized official title is Owner and has the following contact phone number (347) 668-4992.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 6/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2251S00000XCommunity/Behavioral HealthNo
3103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017065OTHERNEW YORKPROFESSIONAL LICENSE
235SI00517600OTHERNEW JERSEYPROFESSIONAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.