PRINCETON HOUSE PHYSICIAN GROUP NPI 1841387073

NPI Information

  • NPI: 1841387073
  • Provider Name: PRINCETON HOUSE PHYSICIAN GROUP
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Organization
  • CLIA Number: 31D2124929
  • Address: 905 HERRONTOWN RD
    PRINCETON, NJ
    ZIP 08540
  • Phone: (609) 497-3300

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NPI Details

PRINCETON HOUSE PHYSICIAN GROUP is a cognitive and behavioral psychologist in Princeton, NJ. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. PRINCETON HOUSE PHYSICIAN GROUP NPI is 1841387073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 HERRONTOWN RD
PRINCETON, NJ
ZIP 08540-901
Phone: (609) 497-3300

The provider's authorized official is Richard Wohl .
The authorized official title is Senior Vice President and has the following contact phone number (609) 497-3300.

The CLIA number assigned to this NPI record is 31D2124929 - insurance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14617703MEDICAIDNEW JERSEY

What is NPI?

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This page was last updated on: 11/21/2025

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