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PSYCHOLOGICAL CONSULTING AND THERAPY INC
NPI 1114370657
Social Worker - Clinical in Waldwick, NJ

Active since July 20, 2016
71 FRANKLIN TPKE, SUITE 1-2, WALDWICK, NJ 07463(201) 497-0289(866) 850-6432 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychological Consulting And Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSYCHOLOGICAL CONSULTING AND THERAPY INC (NPI 1114370657) is a healthcare organization registered as a clinical in Waldwick, New Jersey and active in the NPI registry since July 2016. The organization lists Valery E Fradkov, President, as its authorized official.

NPPES Registry Identity

NPI1114370657
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePSYCHOLOGICAL CONSULTING AND THERAPY INC
Location Address71 FRANKLIN TPKE, SUITE 1-2Waldwick, NJ 07463-1851
Mailing Address71 Franklin Tpke, Suite 1-2Waldwick, NJ 07463-1851 · (201) 497-0289 · Fax (866) 850-6432
Phone(201) 497-0289
Fax(866) 850-6432
Organization SubpartNo
Authorized OfficialValery E FradkovPresident · (201) 497-0289
Enumeration DateJuly 20, 2016
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1114370657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05391100
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
71 FRANKLIN TPKE, Waldwick, NJ 07463
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Consulting And Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychological Consulting And Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Valery Fradkov, LCSW
Clinical Social Worker
NPI 1841427663
3100 BROADWAY
Fair Lawn, NJ 07410
(917) 582-1683
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psychological Consulting And Therapy Inc's NPI number?

The NPI number for Psychological Consulting And Therapy Inc is 1114370657. It was assigned to this organization in the NPPES registry on July 20, 2016.

Where is Psychological Consulting And Therapy Inc located?

Psychological Consulting And Therapy Inc is located at 71 Franklin Tpke Suite 1-2, Waldwick, NJ 07463. The listed phone number is (201) 497-0289.

What is Psychological Consulting And Therapy Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Psychological Consulting And Therapy Inc enrolled in Medicare?

Yes. Psychological Consulting And Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Consulting And Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Psychological Consulting And Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychological Consulting And Therapy Inc was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.