Provider Demographics
NPI:1174644561
Name:THE ACCREDITED CENTER FOR PSYCHOLOGICAL COUNSELING
Entity Type:Organization
Organization Name:THE ACCREDITED CENTER FOR PSYCHOLOGICAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PASAHOW
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW
Authorized Official - Phone:201-475-2777
Mailing Address - Street 1:5-11 SADDLE RIVER RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5635
Mailing Address - Country:US
Mailing Address - Phone:201-475-2777
Mailing Address - Fax:201-475-2779
Practice Address - Street 1:5-11 SADDLE RIVER RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5635
Practice Address - Country:US
Practice Address - Phone:201-475-2777
Practice Address - Fax:201-475-2779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ 44SC00168300102L00000X
103TC0700X, 1041C0700X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherFEDERAL TAX ID NUMBER