ADAM MONDELBLATT (NPI# 1194155119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194155119 |
| Entity Type | Individual |
| Full Name | ADAM MONDELBLATT |
| Credential | ED.S, MA, LPC, NCC |
| Practice Address |
34 E Main St Marlton NJ 08053-2157 |
| Mailing Address |
34 E Main Streeet Marlton Nj NJ 08053 |
| Practice Telephone | 8567510505 |
| Practice Fax Number | 8883991804 |
| Mailing Telephone | 6096130110 |
| Mailing Fax Number | 8663094180 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00485700 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
34 E MAIN ST |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629503305 | Tara Calafiore | Psychologist | 34 E Main St, Marlton, NJ 08053-2157 | 2017-05-01 |
| 1023475910 | Tracey Swain | Social Worker | 34 E Main St, Marlton, NJ 08053-2157 | 2016-01-22 |
| 1952725905 | Inner Balance Psychology Center, LLC | Psychologist | 34 E Main St, Marlton, NJ 08053-2157 | 2014-02-11 |
| 1740314137 | Clifford W Jones Do PC | Psychiatry & Neurology | 34 E Main St, Marlton, NJ 08053-2157 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1790342855 | Jennifer Lee Bordner | Counselor | 603 Westerly Dr, Marlton, NJ 08053-1069 | 2019-05-23 |
| 1780160358 | Susan Kimberly Childers | Counselor | 48 S. Maple Avenue, 2nd Floor, Marlton, NJ 08053 | 2018-07-17 |
| 1124575402 | Gary Michael Gans | Counselor | 2 Cardinal Ct, Marlton, NJ 08053-1449 | 2016-09-05 |
| 1194187054 | Candace R Mckay | Counselor | 3708 Buxmont Rd, Marlton, NJ 08053-8511 | 2016-03-22 |
| 1710366794 | Sarah Mello | Counselor | 105 Evesboro Medford Rd Ste M, Marlton, NJ 08053-3865 | 2015-05-24 |
| 1194116954 | Jeanne Catherine Farabaugh | Counselor | 951 Route 73 N Ste B, Marlton, NJ 08053-1279 | 2015-02-13 |
| 1548698517 | Catherine Morris | Counselor | 951 Nj-73 B, Marlton, NJ 08053 | 2013-10-29 |
| Find all providers in MARLTON | ||||
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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.