FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY
NPI 1669862199
Psychologist - Clinical in Jersey City, NJ

Q: What is Footprint New Jersey Limited Liability Company's specialty?

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

Active since February 05, 2015

121 NEWARK AVE, STE. 503, JERSEY CITY, NJ 07302(201) 240-6186(201) 763-6606 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Footprint New Jersey Limited Liability Company NPPES

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

FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY (NPI 1669862199) is a healthcare organization registered as a clinical in Jersey City, New Jersey and active in the NPI registry since February 2015. The organization lists Sarosh M Cooper, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1669862199

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameFOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY

Location Address121 NEWARK AVE, STE. 503Jersey City, NJ 07302-5872

Mailing Address121 Newark Ave, Ste. 503Jersey City, NJ 07302-5872 · (201) 240-6186 · Fax (201) 763-6606

Phone(201) 240-6186

Fax(201) 763-6606

Organization SubpartNo

Authorized OfficialSarosh M CooperPsychologist · (201) 240-6186

Enumeration DateFebruary 5, 2015

Last NPPES UpdateJuly 29, 2015

✔ NPI 1669862199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NJ · 35SI00482700

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.

121 NEWARK AVE, Jersey City, NJ 07302

Open in Google Maps ↗

Other Identifiers 1

Medicare PIN420219NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

YVONNE MORALES LCSW

Counselor (Mental Health)

121 NEWARK AVE
JERSEY CITY, NJ 07302

Hudson County (201) 281-9966

DR. HERZEL YERUSHALMI LPC

Counselor (Professional)

121 NEWARK AVE
JERSEY CITY, NJ 07302

Hudson County (201) 677-2232

CHRISTINE VICTORIA FORTE LPC

Counselor (Professional)

121 NEWARK AVE
JERSEY CITY, NJ 07302

Hudson County (718) 415-5190

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 Footprint New Jersey Limited Liability Company's NPI number?

The NPI number for Footprint New Jersey Limited Liability Company is 1669862199. It was assigned to this organization in the NPPES registry on February 5, 2015.

Where is Footprint New Jersey Limited Liability Company located?

Footprint New Jersey Limited Liability Company is located at 121 Newark Ave Ste. 503, Jersey City, NJ 07302. The listed phone number is (201) 240-6186.

What is Footprint New Jersey Limited Liability Company'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 Footprint New Jersey Limited Liability Company was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.