Provider Demographics
NPI:1346020625
Name:CAM PSYCHOTHERAPY SERVICES LLC
Entity Type:Organization
Organization Name:CAM PSYCHOTHERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-534-5367
Mailing Address - Street 1:175 KINDERKAMACK RD # 1042
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07656-1335
Mailing Address - Country:US
Mailing Address - Phone:201-500-5997
Mailing Address - Fax:
Practice Address - Street 1:4 BEAVER TRL
Practice Address - Street 2:
Practice Address - City:STOCKHOLM
Practice Address - State:NJ
Practice Address - Zip Code:07460-1232
Practice Address - Country:US
Practice Address - Phone:201-500-5997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty