Provider Demographics
NPI:1992216527
Name:METROPOLITAN CENTER FOR HUMAN SERVICES
Entity type:Organization
Organization Name:METROPOLITAN CENTER FOR HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:FIGURELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-358-2343
Mailing Address - Street 1:280 RIDGEWOOD BOULEVARD NORTH
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP OF WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07676
Mailing Address - Country:US
Mailing Address - Phone:201-358-2343
Mailing Address - Fax:201-358-2343
Practice Address - Street 1:520 DR. MARTIN LUTHER KING, JR. BOULEVARD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102
Practice Address - Country:US
Practice Address - Phone:201-358-2343
Practice Address - Fax:201-358-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2892103T00000X
103TC0700X, 103TF0200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty