Provider Demographics
NPI:1063223659
Name:ASSENKA OKSILOFF PSYCHOTHERAPY
Entity type:Organization
Organization Name:ASSENKA OKSILOFF PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASSENKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKSILOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-529-1568
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NJ
Mailing Address - Zip Code:08555-0262
Mailing Address - Country:US
Mailing Address - Phone:609-529-1568
Mailing Address - Fax:
Practice Address - Street 1:9 CHARLTON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-5231
Practice Address - Country:US
Practice Address - Phone:609-529-1568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty