Archetype Psychological Services, LLC
NPI 1952964611 · Community/Behavioral Health Agency · West Orange, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Archetype Psychological Services, LLC is a Community/Behavioral Health Agency organization in West Orange, NJ (NPI 1952964611).
Provider details
- NPI number
- 1952964611
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Wendy Wilson-Poth, Owner(646) 820-5477
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2019-04-18
Frequently asked questions
- What is Archetype Psychological Services, LLC's NPI number?
- Archetype Psychological Services, LLC's National Provider Identifier (NPI) is 1952964611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Archetype Psychological Services, LLC?
- Archetype Psychological Services, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Archetype Psychological Services, LLC located?
- Archetype Psychological Services, LLC's practice location on file with NPPES is 444 Northfield Ave, West Orange, NJ 07052-3012.
- What is Archetype Psychological Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Archetype Psychological Services, LLC is (646) 820-5477.
- Does Archetype Psychological Services, LLC accept Medicare?
- Archetype Psychological Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Archetype Psychological Services, LLC?
- The authorized official listed on Archetype Psychological Services, LLC's NPPES record is Wendy Wilson-Poth, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Archetype Psychological Services, LLC's NPI active?
- Yes — Archetype Psychological Services, LLC's NPI (1952964611) is active in the NPPES registry as of the last update on 2019-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.