MODERN THERAPY, LLC
NPI 1861910747
Psychologist in Eatontown, NJ

Active since August 31, 2017
1 MAIN ST STE 314, EATONTOWN, NJ 07724(800) 605-0612(800) 605-0612 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2021, Dec 28, 2018, Aug 31, 2017 (3 updates tracked since 2017).

About Modern Therapy, Llc NPPES

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

MODERN THERAPY, LLC (NPI 1861910747) is a healthcare organization registered as a psychologist in Eatontown, New Jersey and active in the NPI registry since August 2017. The organization lists Brandon Christensen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861910747
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMODERN THERAPY, LLC
Location Address1 MAIN ST STE 314Eatontown, NJ 07724-3905
Mailing Address1 Main St Ste 314Eatontown, NJ 07724-3905 · (800) 605-0612 · Fax (800) 605-0612
Fax(800) 605-0612
Organization SubpartNo
Authorized OfficialBrandon ChristensenExecutive Director · (732) 585-7814
Enumeration DateAugust 31, 2017
Last NPPES UpdateDecember 28, 20213 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
NPI 1861910747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1 MAIN ST STE 314, Eatontown, NJ 07724

Other Identifiers 1

Other0450193127NJ · Out Of Network

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 8

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

Social Worker (Clinical)
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Counselor (Professional)
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Counselor (Professional)
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Social Worker (Clinical)
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Marriage & Family Therapist
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Social Worker (Clinical)
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Counselor
1 MAIN ST STE 314
EATONTOWN, NJ 07724
Social Worker (Clinical)
1 MAIN ST STE 314
EATONTOWN, NJ 07724

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 Modern Therapy, LLC's NPI number?

The NPI number for Modern Therapy, LLC is 1861910747. It was assigned to this organization in the NPPES registry on August 31, 2017.

Where is Modern Therapy, LLC located?

Modern Therapy, LLC is located at 1 Main St Ste 314, Eatontown, NJ 07724. The listed phone number is (800) 605-0612.

What is Modern Therapy, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Modern Therapy, LLC was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.