JENNIFER YEDLIN (NPI# 1326675034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326675034 |
| Entity Type | Individual |
| Full Name | JENNIFER YEDLIN |
| Credential | PH.D. |
| Practice Address |
540 Queen Anne Rd Teaneck NJ 07666-3329 |
| Practice Telephone | 9737159159 |
| Mailing Telephone | 9737159159 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35SI00564900 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
540 QUEEN ANNE RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881924967 | Evan Michael Kroll | Psychologist | 100 State St, Suite 2d, Teaneck, NJ 07666-5200 | 2010-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879984 | Pm Vietze Phd LLC | Psychologist | 957 Cedarbrook Road, Plainfield, NJ 07060-2646 | 2020-07-30 |
| 1275159642 | Family Home Care Services LLC | Psychologist | 7 Glenwood Ave Ste 419c, East Orange, NJ 07017-1065 | 2020-06-22 |
| 1558835876 | Jacqueline D Freedman | Psychologist | 748 Morris Tpke Ste 207, Short Hills, NJ 07078-2617 | 2019-01-21 |
| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1801140256 | Sheryl Lori Pierre | Psychologist | 128 Bortons Landing Road, Suite 2, Moorestown, NJ 08057 | 2012-11-07 |
| Find all providers with the same taxonomy | ||||
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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.