GERARD VACCARELLA JR.


Address: 248 Boulevard, Hasbrouck Heights, NJ 07604-1935
Phone: 2012884611

GERARD VACCARELLA JR. (NPI# 1073526588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073526588
Entity Type Individual
Full Name GERARD VACCARELLA JR.
Credential PHD
Practice Address 248 Boulevard
Hasbrouck Heights
NJ 07604-1935
Practice Telephone 2012884611
Practice Fax Number 2012888107
Mailing Telephone 2012884611
Mailing Fax Number 2012888107
Enumeration Date 2006-08-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 355100234200 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 1609106 05
EMPIRE BLUE CROSS V4951 01
AETNA PIN # 7920122 01

Office Location

Street Address 248 BOULEVARD
City HASBROUCK HEIGHTS
State NJ
Zip Code 07604-1935

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1740416213 Rachel J Galas Massage Therapist 209 Springfield Ave, Hasbrouck Heights, NJ 07604 2009-06-10
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Taxonomy Information

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

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841645561 Brielle Marino Psychologist 154 Washington Pl, Hasbrouck Heights, NJ 07604-1222 2016-05-02

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Competitor

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City HASBROUCK HEIGHTS
Zip Code 07604

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Dataset Information

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.

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