DR. WILMA A. SHIELDS (NPI# 1588705792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588705792 |
Entity Type | Individual |
Full Name | DR. WILMA A. SHIELDS |
Credential | PSY.D. |
Practice Address |
15 Schooleys Mountain Rd Long Valley NJ 07853-3198 |
Practice Telephone | 9088763475 |
Mailing Telephone | 9088763475 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2014-11-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00275300 | NJ | Behavioral Health & Social Service Providers |
Street Address |
15 SCHOOLEYS MOUNTAIN RD |
City | LONG VALLEY |
State | NJ |
Zip Code | 07853-3198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225543887 | Special Homes of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 39a Old Turnpike Road, Long Valley, NJ 07853 | 2017-12-05 |
1407215536 | Leah Nagorsky | Physician Assistant | 3 Emily Pl, Long Valley, NJ 07853 | 2016-02-17 |
1982041125 | Sharon Defusco | Speech-Language Pathologist | 17 Beechnut Drive, Long Valley, NJ 07853 | 2013-05-29 |
1134494925 | Long Valley First Aid Squad | Ambulance | 70 East Mill Rd, Long Valley, NJ 07853 | 2012-03-13 |
1639294507 | Goodkin & Pilek Family Dentistry, LLC | Dentist | 59 E. Mill Rd, Suite 2-2034, Long Valley, NJ 07853 | 2007-03-20 |
1619044674 | Deborah Waddell | Acupuncturist | 59 East Mill Rd, Suite 2 209, Long Valley, NJ 07853 | 2006-11-28 |
1790854065 | Mary Anne Giuseppe | Dentist | 2 Mountain View Avenue, Long Valley, NJ 07853 | 2006-11-08 |
1023124351 | Robert A Mason | Dentist | 104 Parker Rd, Long Valley, NJ 07853 | 2006-08-21 |
1174502363 | Jacqueline M Roskie | Social Worker | 59 East Mill Road, Bldg 2 Suite 2 - 202, Long Valley, NJ 07853 | 2006-01-16 |
1144399411 | Elizabeth Nancy Odinez Bortfeld | Dentist | 2 Mountain View Ave, Long Valley, NJ 07853 | 2006-11-08 |
Find all providers in zip 07853 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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Find all providers with the same taxonomy |
City | LONG VALLEY |
Zip Code | 07853 |
Please comment or provide details below to improve the information on DR. WILMA A. SHIELDS.
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.