MID-ATLANTIC PSYCHOLOGICAL SERVICES
NPI 1508503038
Clinic/Center - Adolescent and Children Mental Health in Highland Park, NJ
About Mid-atlantic Psychological Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-ATLANTIC PSYCHOLOGICAL SERVICES (NPI 1508503038) is a healthcare organization registered as an adolescent and children mental health in Highland Park, New Jersey and active in the NPI registry since May 2022. The organization lists Mason Shepherd, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid-atlantic Psychological Services 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 Mid-Atlantic Psychological Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mid-Atlantic Psychological Services's NPI number?
The NPI number for Mid-Atlantic Psychological Services is 1508503038. It was assigned to this organization in the NPPES registry on May 16, 2022.
Where is Mid-Atlantic Psychological Services located?
Mid-Atlantic Psychological Services is located at 75 Raritan Ave Ste 225, Highland Park, NJ 08904. The listed phone number is (973) 433-5868.
What is Mid-Atlantic Psychological Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Mid-Atlantic Psychological Services enrolled in Medicare?
Yes. Mid-Atlantic Psychological Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid-Atlantic Psychological Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mid-Atlantic Psychological Services. 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 Mid-Atlantic Psychological Services was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mid-Atlantic Psychological Services · NPI 1508503038
Adolescent and Children Mental Health organization in Highland Park, New Jersey. Organization record, active in the CMS NPPES registry since May 16, 2022.
## Identity
- **NPI:** 1508503038 (Entity type: Organization)
- **Enumerated:** May 16, 2022
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Mason Shepherd, PRESIDENT
## Practice location
- **Address:** 75 RARITAN AVE STE 225, Highland Park, NJ 08904-2442
- **Phone:** (973) 433-5868
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508503038) · Data from the CMS NPPES public registry.