Provider Demographics
NPI:1538635560
Name:TORRES, CHELSEA (PSYD, CMPC)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PSYD, CMPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP OF WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07676-5018
Mailing Address - Country:US
Mailing Address - Phone:201-280-5344
Mailing Address - Fax:
Practice Address - Street 1:87 ROUTE 17 NORTH
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607
Practice Address - Country:US
Practice Address - Phone:551-996-4450
Practice Address - Fax:561-996-5729
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7PC00408200103TC0700X, 103TC1900X
NJ1246103TE1100X
NJ35SI00688300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Multi-Specialty