Provider Demographics
NPI:1629293824
Name:KARINJA PSYCHOTHERAOY ASSOC., INC.
Entity Type:Organization
Organization Name:KARINJA PSYCHOTHERAOY ASSOC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARINJA
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,CNS,APRN,ND(C)
Authorized Official - Phone:732-389-5482
Mailing Address - Street 1:138 WESTFIELD AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2454
Mailing Address - Country:US
Mailing Address - Phone:732-389-5482
Mailing Address - Fax:732-758-0859
Practice Address - Street 1:138 WESTFIELD AVE
Practice Address - Street 2:SUITE D
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2454
Practice Address - Country:US
Practice Address - Phone:732-389-5482
Practice Address - Fax:732-758-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA026469002084F0202X
NJ26NC06766100364SH1100X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Multi-Specialty
Not Answered364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolisticGroup - Multi-Specialty
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Multi-Specialty