DR. DAVID STUART GOMBERG (NPI# 1740372515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740372515 |
| Entity Type | Individual |
| Full Name | DR. DAVID STUART GOMBERG |
| Credential | PHD |
| Practice Address |
169 Maplewood Avenue Maplewood NJ 07040 |
| Practice Telephone | 9733139289 |
| Practice Fax Number | 9737635604 |
| Mailing Telephone | 9733139289 |
| Mailing Fax Number | 9737635604 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 0130661 | NY | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 3703 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
169 MAPLEWOOD AVENUE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| 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 |
|---|---|---|---|---|
| 1053719732 | Novo Psychological Services, LLC | Psychologist | 720 Viking Dr E, Maplewood, MN 55117-1666 | 2014-12-12 |
| 1225434970 | Jessica Danielle Riggs | Psychologist | 1122 Ferndale St N, Maplewood, MN 55119-3634 | 2014-11-07 |
| 1528213824 | Amelia Kaplan Romanowsky | Psychologist | 13 Euclid Ave, Maplewood, NJ 07040-2121 | 2008-12-01 |
| 1679607832 | Jean M. Birbilis | Psychologist | 2721 Upper Afton Rd E Ste 101, Maplewood, MN 55119-4760 | 2007-03-16 |
| 1902930837 | Christine Knecht Church | Psychologist | 2721 Upper Afton Rd E, Suite 101, Maplewood, MN 55119-4760 | 2007-03-15 |
| 1235264359 | Judith S. Bernstein | Psychologist | 511 Valley Street, Suite 201, Maplewood, NJ 07040 | 2007-02-22 |
| 1457405631 | Lauren Elizabeth Meisels | Psychologist | 491 Ridgewood Rd, Maplewood, NJ 07040-2136 | 2007-01-23 |
| 1700934726 | Amy J Hartford | Psychologist | 1 Lenox Place, Suite C, Maplewood, NJ 07040-1417 | 2007-01-08 |
| 1336237114 | Zehra Ansari | Psychologist | 2383 Standridge Ave, Maplewood, MN 55109-1545 | 2006-10-10 |
| 1942391917 | Michele T Zembow | Psychologist | 18 Plymouth Pl, Maplewood, NJ 07040-2322 | 2006-09-27 |
| Find all providers in MAPLEWOOD | ||||
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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.