DR. MARY R. ROBERTS


Address: 126 N Green St, Tuckerton, NJ 08087-2628
Phone: 6092960022

DR. MARY R. ROBERTS (NPI# 1730289364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730289364
Entity Type Individual
Full Name DR. MARY R. ROBERTS
Credential PH.D.
Practice Address 126 N Green St
Tuckerton
NJ 08087-2628
Mailing Address 12 Cypress Ct
Little Egg Harbor
NJ 08087-4231
Practice Telephone 6092960022
Practice Fax Number 6092960022
Mailing Telephone 6092963289
Mailing Fax Number 6092960022
Enumeration Date 2006-09-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist PS002617L PA Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 35SI00286000 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ MHN 038178 01
NJ AETNA 2551979 01

Other Providers MARY ROBERTS

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1609150598 Mary Jacqueline Roberts Nurse Practitioner 1331 Christy Ave, #1, Louisville, KY 40204-2038 2011-10-10
1972736114 Mary Roberts Social Worker 119 Hendersonville Rd., Asheville, NC 28803 2009-09-03

Office Location

Street Address 126 N GREEN ST
City TUCKERTON
State NJ
Zip Code 08087-2628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285903500 Lynne A. Beriont-virginia Marriage & Family Therapist 126 N Green St, Tuckerton, NJ 08087-2628 2011-12-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932610300 Acme Markets Inc Durable Medical Equipment & Medical Supplies 425 Us 9, Tuckerton, NJ 08087 2017-10-12
1679083877 Tiffany Wild Speech-Language Pathologist 324 Frog Pond Rd, Little Egg Harbor Township, NJ 08087 2017-10-03
1124570098 Dana Nicole Luciano Physician Assistant 798 County Road #539, #3, Little Egg Harbor Township, NJ 08087 2016-10-26
1235598616 Ocean Health Initiatives,inc General Practice 798 County Road 539, Little Egg Harbor, NJ 08087 2016-02-15
1093159253 Terraces At Seacrest Village LLC Assisted Living Facility 281 Mathistown Road, Little Egg Harbor Township, NJ 08087 2013-04-18
1023390762 Gerri Hoegler Counselor 1064 S. Main St. Unit 206, West Creek, NJ 08087 2011-09-19
1437366572 Walgreens Pharmacy Pharmacy 201 Mathistown Road, Little Egg Harbor, NJ 08087 2007-05-17
1669599957 Paul Damian Lauria Chiropractor 871 Radio Rd, Little Egg Harbor, NJ 08087 2007-03-23
1528196276 Walgreen Co Durable Medical Equipment & Medical Supplies 201 Mathistown Rd, Little Egg Harbor Twp, NJ 08087 2007-03-02
1083752216 Mystic Pharmacy Inc Pharmacy 972 Radio Rd, Little Egg Harbor, NJ 08087 2007-02-01
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

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Competitor

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City TUCKERTON
Zip Code 08087

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Dataset Information

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.

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