Provider Demographics
NPI:1558851592
Name:HELLENIC PSYCHOLOGY CENTER
Entity Type:Organization
Organization Name:HELLENIC PSYCHOLOGY CENTER
Other - Org Name:HELLENIC THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:DI IORIO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:908-451-2016
Mailing Address - Street 1:914 TICE PL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2629
Mailing Address - Country:US
Mailing Address - Phone:908-451-2016
Mailing Address - Fax:
Practice Address - Street 1:567 PARK AVE STE 203
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1754
Practice Address - Country:US
Practice Address - Phone:908-322-0112
Practice Address - Fax:908-789-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1083787774261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1083787774OtherPRIVATE PRACTICE