DR. ILANA TANNENBAUM (NPI# 1003131269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003131269 |
| Entity Type | Individual |
| Full Name | DR. ILANA TANNENBAUM |
| Credential | PH.D. |
| Practice Address |
31 S Fullerton Ave 2nd Floor Montclair NJ 07042-3455 |
| Mailing Address |
296 Berkeley Ave Bloomfield NJ 07003-4946 |
| Practice Telephone | 9737444494 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
35SI00470500 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
35SI00470500 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
31 S FULLERTON AVE 2ND FLOOR |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706489 | Fredrika Alper | Psychologist | 31 S Fullerton Ave, Montclair, NJ 07042-3358 | 2006-01-27 |
| 1306310958 | Henchi Goldberg | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2019-01-16 |
| 1194194795 | Linda Rosenberg | Counselor | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2015-09-24 |
| 1811388572 | Novo Psychological Services LLC | Psychologist | 31 S Fullerton Ave, 2nd Floor, Montclair, NJ 07042-3455 | 2015-02-16 |
| 1467850586 | Mary Culley | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2014-12-06 |
| 1295132330 | Mirta Lopez | Social Worker | 31 S Fullerton Ave, 2nd Flr, Montclair, NJ 07042-3455 | 2014-12-03 |
| 1447651112 | Bonnie Cushing | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2014-09-11 |
| 1336416775 | Dana Lewisohn | Social Worker | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2011-11-30 |
| 1851668818 | Wolf Mehlman Psychological Associates, LLC | Community/Behavioral Health | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2011-11-18 |
| 1528354834 | Ryan John Montes | Psychologist | 31 S Fullerton Ave, Montclair, NJ 07042-3455 | 2011-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821567504 | Tamara L Walker | Psychologist | 80 Glenridge Ave Apt G3-2, Montclair, NJ 07042-4790 | 2018-11-25 |
| 1073537163 | Abisola Helen Gallagher | Psychologist | 50 Church Street, Suite 102, Montclair, NJ 07042 | 2006-07-26 |
| 1831797976 | Susan M Walker | Psychologist | 88 Park St, Montclair, NJ 07042-5915 | 2020-10-12 |
| 1083044374 | Lisa Weinberg | Psychologist | 94 Valley Rd, Montclair, NJ 07042-2211 | 2013-11-22 |
| 1154651446 | Melissa Shuman Zarin | Psychologist | 31 S Fullerton Ave, Montclair, NJ 07042-3358 | 2010-01-08 |
| 1568592608 | Nouriman - Ghahary | Psychologist | 103 Park St, Suite 2a, Montclair, NJ 07042-5913 | 2007-03-07 |
| 1093868135 | Joseph Peter Pedoto | Psychologist | 605 Bloomfield Ave, Suite 7, Montclair, NJ 07042-2859 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629631882 | Jamie Goodwin-uhler | Psychologist | 170 Morris Ave Ste C, Long Branch, NJ 07740-6660 | 2019-04-15 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1467935189 | Daria Luongo | Psychologist | 10 Freeman Pl, Nutley, NJ 07110-3314 | 2018-09-09 |
| 1023594595 | Nuha M Matari | Psychologist | 8713 Brittany Dr, Wayne, NJ 07470-8506 | 2018-07-17 |
| 1508359829 | Family Dynamics LLC | Psychologist | 216 Dayton St Ste 3, Ridgewood, NJ 07450-4450 | 2018-06-11 |
| 1851808141 | Eric Edward Kaighn | Psychologist | 9 Lisa Robyn Cir Apt 208, Lakewood, NJ 08701-7016 | 2018-01-08 |
| 1174044168 | Paula Wilson-howell | Psychologist | 2130 Millburn Ave Ste D2, Maplewood, NJ 07040-3749 | 2017-06-29 |
| 1538544572 | Frances Trotman | Psychologist | 74 Seneca Pl, Oceanport, NJ 07757-1540 | 2015-07-20 |
| 1760887780 | Lynn M. Hanson | Psychologist | 8 Chesterfield Dr, Chester, NJ 07930-2019 | 2014-11-03 |
| 1508260738 | Sandra Ackerman Sinclair | Psychologist | 33 Burroughs Way, Maplewood, NJ 07040-1435 | 2014-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.