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Contact Information

ACTIVITY & HUMAN PERFORMANCE CENTER, LLC
89 LAPIS CIR
WEST ORANGE, NJ07052-2154
 Phone: 973-325-3131
 Fax: 973-325-3150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for ACTIVITY & HUMAN PERFORMANCE CENTER, LLC

NPI # 1174857544
LBN Legal business name ACTIVITY & HUMAN PERFORMANCE CENTER, LLC
Authorized official MARK SEGLIN - (PRESIDENT/LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2009
Last updated 10/01/2009 - About 17 years ago
Identifiers
NJ License # 2138
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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