Provider Demographics
NPI:1255724829
Name:JUDI OSHINSKY PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:JUDI OSHINSKY PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WOORKER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:COHEN
Authorized Official - Last Name:OSHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW, LCSW
Authorized Official - Phone:732-777-1500
Mailing Address - Street 1:85 RARITAN AVE
Mailing Address - Street 2:SUITE 500-C
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2439
Mailing Address - Country:US
Mailing Address - Phone:732-777-1500
Mailing Address - Fax:732-210-0221
Practice Address - Street 1:85 RARITAN AVE
Practice Address - Street 2:SUITE 500-C
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2439
Practice Address - Country:US
Practice Address - Phone:732-777-1500
Practice Address - Fax:732-210-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00144600261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ140078Medicare PIN