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STACOM PSYCHOLOGICAL SERVICES
NPI 1205426715
Psychologist - Clinical in Millburn, NJ

Active since January 20, 2021
407 ESSEX ST, MILLBURN, NJ 07041(650) 380-5465 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacom Psychological Services NPPES

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

STACOM PSYCHOLOGICAL SERVICES (NPI 1205426715) is a healthcare organization registered as a clinical in Millburn, New Jersey and active in the NPI registry since January 2021. The organization lists Elizabeth Stacom, President, as its authorized official.

NPPES Registry Identity

NPI1205426715
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTACOM PSYCHOLOGICAL SERVICES
Location Address407 ESSEX STMillburn, NJ 07041-1316
Mailing Address23 Pease AveVerona, NJ 07044-1401
Phone(650) 380-5465
Organization SubpartNo
Authorized OfficialElizabeth StacomPresident · (650) 380-5465
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1205426715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
407 ESSEX ST, Millburn, NJ 07041
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JOAN O'LEARY LCSW
Social Worker (Clinical)
407 ESSEX ST
MILLBURN, NJ 07041
Essex County (973) 376-7515
MS. ORLY SHULMAN-KENNAN LCSW
Social Worker (Clinical)
407 ESSEX ST
MILLBURN, NJ 07041
Essex County (973) 204-1005
MR. CHARLES A LOPEZ L.P.C.
Counselor (Professional)
407 ESSEX ST
MILLBURN, NJ 07041
Essex County (973) 309-0952
DR. CHERYL SUSAN FUTTERMAN PH.D.
Psychologist
407 ESSEX ST
MILLBURN, NJ 07041
Essex County (973) 912-0102

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 Stacom Psychological Services's NPI number?

The NPI number for Stacom Psychological Services is 1205426715. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Stacom Psychological Services located?

Stacom Psychological Services is located at 407 Essex St, Millburn, NJ 07041. The listed phone number is (650) 380-5465.

What is Stacom Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stacom Psychological Services was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.