Provider Demographics
NPI:1295161859
Name:JOHN TARPINIAN LLC
Entity type:Organization
Organization Name:JOHN TARPINIAN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TARPINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:201-930-1514
Mailing Address - Street 1:72 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8220
Mailing Address - Country:US
Mailing Address - Phone:201-930-1514
Mailing Address - Fax:201-930-1088
Practice Address - Street 1:72 PINECREST DR
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8220
Practice Address - Country:US
Practice Address - Phone:201-930-1514
Practice Address - Fax:201-930-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00211900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ444876Medicare PIN