Provider Demographics
NPI:1114968427
Name:CHALLENGES PSYCHOLOGICAL SERVICES, P.A.
Entity Type:Organization
Organization Name:CHALLENGES PSYCHOLOGICAL SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWEETWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:732-222-1100
Mailing Address - Street 1:PO BOX 542
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-0542
Mailing Address - Country:US
Mailing Address - Phone:732-222-1100
Mailing Address - Fax:732-222-1103
Practice Address - Street 1:502 W FARMS RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1215
Practice Address - Country:US
Practice Address - Phone:732-222-1100
Practice Address - Fax:732-222-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3370313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7514701Medicaid
NJ006104OtherMEDICARE PTAN
NJCN6297OtherRR CARE
NJ7514701Medicaid