DR. SHIRA R FREUDENBERGER (NPI# 1508124959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508124959 |
| Entity Type | Individual |
| Full Name | DR. SHIRA R FREUDENBERGER |
| Credential | PSY.D. |
| Practice Address |
115 Elmwood Ave Passaic NJ 07055-2410 |
| Practice Telephone | 9737786320 |
| Mailing Telephone | 9737786320 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI 00494700 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
115 ELMWOOD AVE |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
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| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003076241 | Alan Berlin | Psychologist | 34 Ridge Ave, Passaic, NJ 07055-2419 | 2008-06-11 |
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| 1912352287 | Sarah Scimeme | Psychologist | 85 Crescent Ave, Passaic, NJ 07055-2437 | 2016-04-25 |
| 1518206309 | Margaret Humes-bartlo | Psychologist | 85 Crescent Ave, Passaic, NJ 07055-2437 | 2013-02-13 |
| 1063759892 | Nancy Ann Brunner | Psychologist | 85 Crescent Ave, Passaic, NJ 07055-2437 | 2013-01-14 |
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| 1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
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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.