Provider Demographics
NPI:1992161723
Name:WORK COMP PSYCH NET, LLC
Entity type:Organization
Organization Name:WORK COMP PSYCH NET, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FILIPPONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-444-4415
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-0335
Mailing Address - Country:US
Mailing Address - Phone:201-444-4415
Mailing Address - Fax:
Practice Address - Street 1:611 N MAPLE AVE
Practice Address - Street 2:SUITE10
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1668
Practice Address - Country:US
Practice Address - Phone:201-444-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-09
Last Update Date:2016-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty