Provider Demographics
NPI:1124435425
Name:JAMES F BATTAGLIA PSYCHOLOGY PC
Entity type:Organization
Organization Name:JAMES F BATTAGLIA PSYCHOLOGY 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:FRANCIS
Authorized Official - Last Name:BATTAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-670-0222
Mailing Address - Street 1:201 E RIDGEWOOD AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3864
Mailing Address - Country:US
Mailing Address - Phone:201-670-0222
Mailing Address - Fax:
Practice Address - Street 1:201 E RIDGEWOOD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3864
Practice Address - Country:US
Practice Address - Phone:201-670-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3531103T00000X
NY012304103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty