Organization · Type 2 NPI

Behavioral Health Physician PLLC

Psychologist · Lakewood, NJ

NPI number 1194697201 Active

Practice location

2013 Cedarbridge Ave
Lakewood, NJ 08701-7050

Mailing address

11 S Union St
Cambridge, NY 12816-1008

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1194697201

Behavioral Health Physician PLLC's National Provider Identifier is 1194697201, issued on Sep 18, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lakewood, NJ. The record was last updated on Apr 22, 2026.