Provider Demographics
NPI:1508454083
Name:THE CENTER FOR STRESS, ANXIETY, AND MOOD, LLC
Entity Type:Organization
Organization Name:THE CENTER FOR STRESS, ANXIETY, AND MOOD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING MEMBER, CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINDLAUB
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-845-8896
Mailing Address - Street 1:57 UNION PL STE 315
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2568
Mailing Address - Country:US
Mailing Address - Phone:973-845-8896
Mailing Address - Fax:
Practice Address - Street 1:57 UNION PL STE 315
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2568
Practice Address - Country:US
Practice Address - Phone:973-845-8896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1063880433OtherNPI
1710439153OtherNPI