Provider Demographics
NPI:1518681154
Name:MCCABE, PATRICK A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:A
Last Name:MCCABE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8715
Mailing Address - Country:US
Mailing Address - Phone:732-766-5085
Mailing Address - Fax:
Practice Address - Street 1:8 8TH AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-8715
Practice Address - Country:US
Practice Address - Phone:732-766-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100373800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty