DENISE WALLACK (NPI# 1326401969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326401969 |
Entity Type | Individual |
Full Name | DENISE WALLACK |
Credential | PSY.D. |
Practice Address |
470 Forest St Unit 2 Kearny NJ 07032-3582 |
Practice Telephone | 9737157593 |
Mailing Telephone | 9737157593 |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
35SI00558100 | NJ | Behavioral Health & Social Service Providers |
Street Address |
470 FOREST ST UNIT 2 |
City | KEARNY |
State | NJ |
Zip Code | 07032-3582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184192445 | Wise Hearing New Jersey LLC | Hearing Instrument Specialist | 179 Kearney Ave, Kearny, NJ 07032 | 2018-11-05 |
1497232847 | Amira Haany Elgindy | Physician Assistant | Premier Care Associates, 512 Kearny Avenue, Suite B, Kearny, NJ 07032 | 2018-07-27 |
1427577097 | Insight Behavioral Services | Home Health | 78 John Miller Way, Suite 314, Kearny, NJ 07032 | 2017-09-14 |
1366985178 | Minerva Refe Brizuela | Nurse Practitioner | 30-35 So. Hackensack Avenue, Hudson County Correctional, Kearny, NJ 07032 | 2016-11-28 |
1356710396 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 465 Kearny Ave, Kearny, NJ 07032 | 2015-09-21 |
1083016489 | Center for Remote Medical Management LLC | Clinic/Center | 856 Kearny Ave Ste 2, Kearny, NJ 07032 | 2014-09-17 |
1467750836 | Anita Hillary | Pharmacist | 248 Kearny Avenue, Kearny, NJ 07032 | 2011-03-08 |
1770818486 | Twyla N Rentas | Nurse Practitioner | 30 Hackensack Ave., Kearny, NJ 07032 | 2009-10-14 |
1326293291 | Kearny Health Dept | Public Health or Welfare | 645 Kearny Avenue, Kearny Health Dept, Kearny, NJ 07032 | 2008-11-19 |
1669622015 | Emad Jacob | Internal Medicine | 715 Kearney Ave, Kearney, NJ 07032 | 2008-09-23 |
Find all providers in zip 07032 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
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1316560857 | Stephanie M Poe-cerdan | Psychologist | 622 Franklin Rd, Wenonah, NJ 08090-1230 | 2020-05-19 |
1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
1639614308 | Lauren Michelle Foran | Psychologist | 3575 Quakerbridge Road, Hamilton, NJ 08619 | 2017-01-04 |
1205292190 | Karen Nancy Wasserman | Psychologist | 12 Vista Ter, Livingston, NJ 07039-1915 | 2016-01-07 |
1831582170 | Anton Shcherbakov | Psychologist | 1910 Route 70 E Ste 5&7, Cherry Hill, NJ 08003-2123 | 2015-03-11 |
1962742189 | Therapeutic Outreach for Children, Inc | Psychologist | 1 Farm Ln # 458, Roosevelt, NJ 08555-9800 | 2013-02-25 |
1235496332 | Sandra Singer | Psychologist | 7 S Main St Ste B, Marlboro, NJ 07746-1578 | 2012-04-13 |
1891922738 | Alana Miriam Balaban Fisher | Psychologist | 764 Palisade Ave Ste 1f, Teaneck, NJ 07666-3129 | 2009-06-18 |
1245471754 | Nicole Michele Helmer | Psychologist | 601 Harrison St, Apt. 312 W, Hoboken, NJ 07030-6476 | 2009-03-12 |
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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.