Willow Lake Psychological
Psychologist in Branchburg, NJ. Organization (NPI-2).
NPI number1609720754
StatusActive
Last updated in NPPESFeb 25, 2026
Details
- NPI
- 1609720754
- Entity type
- Organization (NPI-2)
- Legal business name
- Willow Lake Psychological
- Organization subpart
- No
- Enumeration date
- Feb 25, 2026
- Certification date
- Feb 25, 2026
- Last updated
- Feb 25, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
971 Us Highway 202 N Ste RBranchburg, NJ 08876-3757
Phone 856-209-2080
Mailing address
971 Us Highway 202 N Ste RBranchburg, NJ 08876-3757
Phone 856-209-2080
Authorized official
Emily Cote
Owner
8562092080
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