Provider Demographics
NPI:1841547833
Name:CONTEMPORARY PSYCHOLOGY INSTITUTE
Entity type:Organization
Organization Name:CONTEMPORARY PSYCHOLOGY INSTITUTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BLASUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:201-679-6270
Mailing Address - Street 1:43 TAMARACK CIR
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2054
Mailing Address - Country:US
Mailing Address - Phone:201-679-6270
Mailing Address - Fax:609-688-0045
Practice Address - Street 1:43 TAMARACK CIR
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2054
Practice Address - Country:US
Practice Address - Phone:201-679-6270
Practice Address - Fax:609-688-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00125400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ563560Medicare PIN