DR. JEANNETTE M DEVARIS (NPI# 1568481745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568481745 |
| Entity Type | Individual |
| Full Name | DR. JEANNETTE M DEVARIS |
| Credential | PH.D. |
| Practice Address |
189 Summit Ave Summit NJ 07901-2967 |
| Practice Telephone | 9085220800 |
| Practice Fax Number | 9085179325 |
| Mailing Telephone | 9085220800 |
| Mailing Fax Number | 9085179325 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35S100254300 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE PTAN | 117846 | 01 |
| Street Address |
189 SUMMIT AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285864694 | John Sauge Duryee | Psychologist | 189 Summit Ave, Summit, NJ 07901-2967 | 2009-07-20 |
| 1811186430 | Jeannette Devaris Corporation | Psychologist | 189 Summit Ave, Summit, NJ 07901-2967 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| 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 |
|---|---|---|---|---|
| 1477763571 | Christine Truhe | Psychologist | 160 Summit Ave Apt 3, Summit, NJ 07901-2933 | 2007-05-23 |
| 1497888754 | B. Sue Epstein Phd PC | Psychologist | 57 Union Pl, Suite 212, Summit, NJ 07901-2568 | 2007-03-14 |
| 1023160801 | Cathy M. West | Psychologist | 21 Upper Drive, Summit, NJ 07901-4137 | 2007-01-18 |
| 1164570271 | Julie P Gardinier | Psychologist | 7 Union Pl, Summit, NJ 07901-3656 | 2007-01-08 |
| 1881759371 | Edwin A Rosenberg | Psychologist | 25 Franklin Pl, Summit, NJ 07901-3616 | 2006-12-26 |
| 1093898207 | Barbara L Rosenberg | Psychologist | 25 Franklin Place, Summit, NJ 07901-3616 | 2006-10-23 |
| 1992893317 | Summit Psychological Services Pa | Psychologist | 86 Summit Ave, Suite 210, Summit, NJ 07901-3647 | 2006-10-11 |
| 1265520696 | Jeffrey S Kahn | Psychologist | 482 Springfield Ave, 2nd Floor, Summit, NJ 07901-2601 | 2006-10-11 |
| 1245873272 | Wendy Loonin | Psychologist | 45 River Rd Ste 8, Summit, NJ 07901-1452 | 2019-10-22 |
| 1073077228 | Kristen Peck | Psychologist | 37 Maple St, Summit, NJ 07901-2529 | 2019-01-22 |
| Find all providers in SUMMIT | ||||
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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.