Provider Demographics
NPI:1679871982
Name:ACHIEVE PSYCHOTHERAPY, PC
Entity type:Organization
Organization Name:ACHIEVE PSYCHOTHERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:973-826-0060
Mailing Address - Street 1:14 SHEMEN CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3662
Mailing Address - Country:US
Mailing Address - Phone:973-826-0060
Mailing Address - Fax:
Practice Address - Street 1:14 SHEMEN CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3662
Practice Address - Country:US
Practice Address - Phone:973-826-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02575900103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty