DR. JENNIFER CARLSON (NPI# 1427418524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427418524 |
Entity Type | Individual |
Full Name | DR. JENNIFER CARLSON |
Credential | PSY. D. |
Practice Address |
294 Harrington Ave Closter NJ 07624-1912 |
Practice Telephone | 2019606614 |
Mailing Telephone | 2019606614 |
Enumeration Date | 2016-03-02 |
Last Update Date | 2016-03-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 4758 | NJ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508307083 | Jennifer Carlson | Community Based Residential Treatment Facility, Mental Illness | 8375 South 700east, Sandy, UT 84070 | 2017-03-16 |
1518386259 | Jennifer Carlson | Social Worker | 601 Shetland Cir, Nokomis, FL 34275-1631 | 2014-04-09 |
1790124279 | Jennifer Leilani Carlson | Doula | 7241 Jillspring Ct, Springfield, VA 22152-3609 | 2013-06-18 |
1124171061 | Jennifer Lee Carlson | Legal Medicine | 4484 Peachtree Rd Ne, Atlanta, GA 30319-2737 | 2007-01-22 |
1710939814 | Jennifer Bergeron Carlson | Pediatrics | 52 Timber Ln, South Burlington, VT 05403-7204 | 2006-05-17 |
1043838774 | Jennifer Marie Carlson | Dentist | 2101 Aspen Dr, Mechanicsburg, PA 17055-5508 | 2020-07-09 |
1437618667 | Jennifer Marie Carlson | Specialist/Technologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2019-03-18 |
1194299933 | Jennifer Carlson | Counselor | 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 | 2019-01-15 |
1407349871 | Jennifer Angelique Carlson | Family Medicine | 1123 N Evergreen Rd, Spokane Valley, WA 99216-1138 | 2018-06-11 |
1780107946 | Jennifer Annette Carlson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | 2017-07-19 |
Street Address |
294 HARRINGTON AVE |
City | CLOSTER |
State | NJ |
Zip Code | 07624-1912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750429817 | Renan U. Erkut-petermann | Counselor | 294 Harrington Ave, Closter, NJ 07624-1912 | 2007-02-02 |
1922544816 | Libera Linick | Social Worker | 294 Harrington Ave, Closter, NJ 07624-1912 | 2017-01-16 |
1891230470 | Cor Support LLC | Social Worker | 294 Harrington Ave, Suite 7, Closter, NJ 07624-1912 | 2017-01-05 |
1396105748 | Elana M Rosenbaum | Occupational Therapist | 294 Harrington Ave, Suite 6, Closter, NJ 07624-1912 | 2016-02-27 |
1295193266 | Joelle Swistak | Social Worker | 294 Harrington Ave, Closter, NJ 07624-1912 | 2016-02-05 |
1154790400 | Jonathan S Byrne | Social Worker | 294 Harrington Ave, Suite #6, Closter, NJ 07624-1912 | 2015-09-16 |
1932578358 | Caitlin Kelly | Social Worker | 294 Harrington Ave, Closter, NJ 07624-1912 | 2015-09-15 |
1952791618 | Cor Group | Community/Behavioral Health | 294 Harrington Ave, Suite 6, Closter, NJ 07624-1912 | 2015-02-02 |
1679961098 | Samantha Breslin | Social Worker | 294 Harrington Ave, Suite #6, Closter, NJ 07624-1912 | 2015-01-07 |
1003204132 | Jennifer Anne Surak-zammitti | Social Worker | 294 Harrington Ave, Closter, NJ 07624 | 2014-12-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
1114159175 | Family Counseling Center of Closter Nj Inc. | Community/Behavioral Health | Harrington Avenue and West Street, Closter, NJ 07624 | 2009-08-10 |
1366654360 | Byungtae Henry Kim | Dentist | 570 Piermont Rd., Closter, NJ 07624 | 2007-05-04 |
1780748566 | Dennis Chintala | Chiropractor | 273 Closter Dock Rd, Closter, NJ 07624 | 2006-12-19 |
1578677092 | Closter Dental PC | Dentist | 570 Piermont Rd, #c1, Closter, NJ 07624 | 2006-08-19 |
1154330876 | Niki Shabnam Mossaded | Dentist | 539 Durie Ave, Closter, NJ 07624 | 2006-08-05 |
1841215407 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 400 Demarest Ave, Closter, NJ 07624 | 2006-07-13 |
1427662394 | Trella Blythe Dolgin | Physical Therapist | 31 Vervalen St, Closter, NJ 07624 | 2020-09-08 |
1629246178 | Annette Kherlopian | Pharmacist | 400 Demarest Ave, Closter, NJ 07624 | 2008-02-19 |
1497865117 | Shyong Dental Group LLC | Dentist | 235 Closter Dock Rd, Closter, NJ 07624 | 2006-08-30 |
Find all providers in zip 07624 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740593706 | Center for Neuropsychology and Psychotherapy, LLC | Clinical Neuropsychologist | 294 Harrington Ave, Closter, NJ 07624-1912 | 2010-07-20 |
1649583642 | Melissa Fiorito-grafman | Clinical Neuropsychologist | 294 Harrington Ave, Suite 1, Closter, NJ 07624-1912 | 2010-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437791993 | Dig It | Clinical Neuropsychologist | 5 Elm Ln, Rumson, NJ 07760-1001 | 2019-10-16 |
1255981767 | Brian Schopfer | Clinical Neuropsychologist | 792 Chimney Rock Rd Ste C, Martinsville, NJ 08836-2271 | 2019-09-17 |
1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
1619496908 | Hilary F Murphy | Clinical Neuropsychologist | 1451 State Route 34 Ste 201, Wall Township, NJ 07727-1614 | 2017-09-18 |
1841653763 | Andrew P Brown IIi | Clinical Neuropsychologist | 31 Clinton St, Newark, NJ 07102-3729 | 2016-03-29 |
1053789230 | Lisa Hahn | Clinical Neuropsychologist | 916 Maple Ave, Newton, NJ 07860-4404 | 2015-09-04 |
1700264256 | Barbara Lauer Listhaus, Psy. D., LLC | Clinical Neuropsychologist | 513 W Mount Pleasant Ave Ste 210, Livingston, NJ 07039-1721 | 2015-05-15 |
1295128882 | Anne Romyr Denor | Clinical Neuropsychologist | 30 John St Apt 2c, Bloomfield, NJ 07003-5142 | 2015-03-06 |
1811304660 | Mallory Seidman | Clinical Neuropsychologist | 16 Inness Pl, Montclair, NJ 07042-4923 | 2014-07-14 |
1811325152 | Amy L. Hradil | Clinical Neuropsychologist | 2048 Oak Tree Road Center for Head Injuries, Cognitive Rehabilitation Progr, Edison, NJ 08820 | 2013-10-24 |
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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.