Individual provider · Type 1 NPI

Petty Tineo

Clinical Psychologist · Montclair, NJ

NPI number 1386225712 Active

Practice location

1 Normal Ave
Montclair, NJ 07043-1626

Call (551) 795-2266 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X027342 (NY)

Clinical Psychologist: 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 discip…

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About NPI 1386225712

Petty Tineo's National Provider Identifier is 1386225712, issued on Apr 17, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Montclair, NJ. The record was last updated on Sep 18, 2026.