Provider Demographics
NPI:1053763375
Name:OAK PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:OAK PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OAK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:201-961-3092
Mailing Address - Street 1:20 WALDMERE PL
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1109
Mailing Address - Country:US
Mailing Address - Phone:201-961-3092
Mailing Address - Fax:
Practice Address - Street 1:19 SPEAR RD
Practice Address - Street 2:SUITE 201
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1235
Practice Address - Country:US
Practice Address - Phone:201-961-3092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5556103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty