About

Dr. Carrie Ditzel holds a Doctoral Degree in Clinical Psychology from the California School of Professional Psychology in San Diego, CA. She is licensed to practice in New York and New Jersey and is a Certified Clinical Telemental Health Provider. Dr. Ditzel specializes in geropsychology and treating the impact of medical conditions on mental health.

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Basic Data

PECOS ID: 1052483120

Entity Type: Individual; Not Sole Proprietor

Organization Name: Cor Behavioral Group LLC

Gender

Female

Client Focus

  • Children (6 To 10)
  • Adolescents/Teenagers (14 To 19)
  • Adults
  • Elders (65+)

Education

  • Alliant International University, PhD in Clinical Psychology

Languages

  • English

Healthcare Provider Taxonomy

  • Code: 103T00000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Psychologist

Credentials

  • Doctor of Philosophy (PhD)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90791 Psychiatric diagnostic evaluation 16 16
90832 Psychotherapy, 30 minutes 68 17

Group Practices

Group practices this therapist belongs to includes:

Baker Street Behavioral Health
Address 15 -01 Broadway
Suite 30A
Fair Lawn, NJ 07410-6026
Group PAC ID 3476945098
Group Members 4
Baker Street Behavioral Health
Address 851 Franklin Lake Rd
Suite 204
Franklin Lakes, NJ 07417-2267
Group PAC ID 3476945098
Group Members 4

Licenses

Name License Number State
Psychologist 0174721 Verify NY
Psychologist 4937 Verify NJ

Practice Locations

601 Flaghouse Dr

Hasbrouck Heights, NJ 07604-3118

Phone Number: (201) 381-6136

Fax Number: (201) 660-8271

15 -01 Broadway

Suite 30A

Fair Lawn, NJ 07410-6026

Phone Number: (201) 381-6136

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