Organization
MID-ATLANTIC PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON SHEPHERD PSY.D. (PRESIDENT)
(973) 433-5868
Entity
Organization
Contact information
Practice address
75 RARITAN AVE STE 225, HIGHLAND PARK, NJ 08904-2442
(973) 433-5868
Mailing address
1062 LIVINGSTON AVE UNIT 7071, NEW BRUNSWICK, NJ 08902-8003
(973) 433-5868
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
02/26/2024
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