Provider Demographics
NPI:1437791738
Name:ROUND ROOM PSYCHOLOGY, LLC
Entity type:Organization
Organization Name:ROUND ROOM PSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIVERA-MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-516-5050
Mailing Address - Street 1:101 HUDSON ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3929
Mailing Address - Country:US
Mailing Address - Phone:551-209-2557
Mailing Address - Fax:
Practice Address - Street 1:101 HUDSON ST STE 2175
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3915
Practice Address - Country:US
Practice Address - Phone:551-209-2557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)