Provider Demographics
NPI:1609121268
Name:ASCENSION CENTER FOR CONTEMPLATIVE PSYCHOLOGY
Entity Type:Organization
Organization Name:ASCENSION CENTER FOR CONTEMPLATIVE PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYTAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-684-9707
Mailing Address - Street 1:1 CRAVEN LN
Mailing Address - Street 2:UNIT 6303
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-8000
Mailing Address - Country:US
Mailing Address - Phone:732-684-9707
Mailing Address - Fax:
Practice Address - Street 1:12 ROSZEL RD
Practice Address - Street 2:SUITE B204
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6234
Practice Address - Country:US
Practice Address - Phone:732-684-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052202001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty