Provider Demographics
NPI:1659838407
Name:LIMA, ANDREW E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:E
Last Name:LIMA
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 1:16 SCHOOLEYS MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-6223
Mailing Address - Country:US
Mailing Address - Phone:201-212-5049
Mailing Address - Fax:
Practice Address - Street 1:16 SCHOOLEYS MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-6223
Practice Address - Country:US
Practice Address - Phone:201-212-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJDCATEMP-044954103TC0700X
FLTPPY1390103TC0700X
390200000X
NY024760103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program