DR. KATHLEEN GRADY WALDRON (NPI# 1558587543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558587543 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN GRADY WALDRON |
| Credential | PH.D APN |
| Practice Address |
117 - 119 Roosevelt Ave. Ucpc Behavioral Healthcare Plainfield NJ 07060 |
| Practice Telephone | 9087566870 |
| Practice Fax Number | 9087565566 |
| Mailing Telephone | 9087566870 |
| Mailing Fax Number | 9087565566 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 355100358000 | NJ | Behavioral Health & Social Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
26NR05725200 | NJ | Nursing Service Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
26NC05725200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447274659 | Kathleen M. Waldron | Family Medicine | 1600 W Grand River Ave, Suite 4, Okemos, MI 48864-2394 | 2006-07-27 |
| Street Address |
117 - 119 ROOSEVELT AVE. UCPC BEHAVIORAL HEALTHCARE |
| City | PLAINFIELD |
| State | NJ |
| Zip Code | 07060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1598304404 | Jeanne Marie Fleming | Specialist/Technologist | North Plainfield High School, 34 Wilson Ave, North Plainfield, NJ 07060 | 2019-12-26 |
| 1598236267 | Allison Wilks | Registered Nurse | 442 Est Front St, Plainfield, NJ 07060 | 2018-12-06 |
| 1982129045 | Carol F Davis | Counselor | 1326 Watchung Avenue, Plainfield, NJ 07060 | 2017-08-10 |
| 1437683109 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Maple Terrace, North Plainfield, NJ 07060 | 2017-04-19 |
| 1659759843 | Morning Star Medical Transport Inc | Ambulance | 700 W 8th St, Plainfield, NJ 07060 | 2015-05-08 |
| 1841625167 | Costco Wholesale Corporation | Pharmacy | 1290 Us Highway 22, North Plainfield, NJ 07060 | 2013-09-05 |
| 1164707121 | Hemandri Amish Patel | Pharmacist | 1165 Us 22 W, Apt 74, North Plainfield, NJ 07060 | 2011-10-20 |
| 1114229598 | Ophelia Rachell Chiles | Specialist | 767 Kensington Ave, Plainfield, NJ 07060 | 2010-11-17 |
| 1568772390 | Orlando Ramos | Counselor | 1010 Park Avenue, Plainfield, NJ 07060 | 2010-10-14 |
| Find all providers in zip 07060 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393650 | Jerry Mark Otoole | Psychologist | 5700 Caton Farm Rd, Plainfield, IL 60586-9905 | 2020-07-16 |
| 1285299248 | Forrest Lambdon Walker Sr. | Psychologist | 506 South Avenue, Plainfield, NJ 07062 | 2019-05-06 |
| 1538621065 | Laura Moore | Psychologist | 24402 W Lockport St Ste 223, Plainfield, IL 60544-4267 | 2019-04-03 |
| 1457638868 | Tanya Canak Farman | Psychologist | 2680 E Main St Ste 205, Plainfield, IN 46168-2828 | 2011-11-14 |
| 1336310010 | Megan Pownall Willis | Psychologist | 909 Madison Ave, Plainfield, NJ 07060-2336 | 2008-03-20 |
| 1235320334 | Client-centered Counseling Associates, Inc. | Psychologist | 15726 S Frederick St, Plainfield, IL 60544-5535 | 2007-08-05 |
| 1427264415 | Muhlenberg Regional Medical Center | Psychologist | Park Avenue and Randolph Road, Plainfield, NJ 07061-3902 | 2007-05-15 |
| 1275699373 | Jacqueline Carrie Napper | Psychologist | 1345 Marlborough Ave, Plainfield, NJ 07060-3312 | 2006-12-31 |
| 1629178389 | Nancy Agnes Durant | Psychologist | 925 Kensington Ave, Plainfield, NJ 07060-2619 | 2006-09-23 |
| 1497859078 | Nicholas Francis O'riordan | Psychologist | 1705 Sierra Highlands Ct, Plainfield, IL 60586-5934 | 2006-09-12 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 07060 |
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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.