Provider Demographics
NPI:1831333087
Name:PATRICIA J. PARSONS, PHD, PC
Entity type:Organization
Organization Name:PATRICIA J. PARSONS, PHD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-761-0270
Mailing Address - Street 1:3 VOSE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2019
Mailing Address - Country:US
Mailing Address - Phone:973-761-0270
Mailing Address - Fax:
Practice Address - Street 1:3 VOSE AVENUE
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2019
Practice Address - Country:US
Practice Address - Phone:973-761-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00144100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000995000OtherMAGELLAN BEHAVIORAL HEALTH
040885OtherVALUE OPTIONS
190577OtherMENTAL HEALTH NETWORK/HEALTHNET
NWK02166OtherPOSTAL INSPECTION SERVICE
P-62493721OtherMULTIPLAN
D473045OtherOXFORD
NJ2915201Medicaid
4554947OtherAETNA
6143801OtherUNITED BEHAVIORAL HEALTH
040885OtherVALUE OPTIONS