DR. JOHN BRADLEY FECHTER (NPI# 1770076580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770076580 |
| Entity Type | Individual |
| Full Name | DR. JOHN BRADLEY FECHTER |
| Credential | PSYD |
| Practice Address |
27 Clyde Rd Ste 102 Somerset NJ 08873 |
| Mailing Address |
260 E Broad St Apt 8 Westfield NJ 07090-5100 |
| Practice Telephone | 9084181382 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35S100594200 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1199 Pleasant Valley Way, West Orange, NJ 070521424 | 9737313600 |
| Street Address |
27 CLYDE RD STE 102 |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472990 | Michael Brian Gross | Counselor | 27 Clyde Rd Ste 102, Somerset, NJ 08873 | 2012-02-21 |
| 1386122489 | Dr. Mike Gross, LLC | Psychologist | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2018-07-31 |
| 1710471875 | New Jersey Neuropsychology, LLC | Clinic/Center | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2018-06-21 |
| 1588055156 | Jeanne Elizabeth Girardy | Family Medicine | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2015-02-18 |
| 1588060982 | Sandi Fields | Social Worker | 27 Clyde Rd Ste 102, Somerset, NJ 08873-5039 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740364272 | Howard Richard Mangel | Clinical Neuropsychologist | 1323 Hwy 27, Suite 1f, Somerset, NJ 08873-3457 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791993 | Dig It | Clinical Neuropsychologist | 5 Elm Ln, Rumson, NJ 07760-1001 | 2019-10-16 |
| 1255981767 | Brian Schopfer | Clinical Neuropsychologist | 792 Chimney Rock Rd Ste C, Martinsville, NJ 08836-2271 | 2019-09-17 |
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1619496908 | Hilary F Murphy | Clinical Neuropsychologist | 1451 State Route 34 Ste 201, Wall Township, NJ 07727-1614 | 2017-09-18 |
| 1841653763 | Andrew P Brown IIi | Clinical Neuropsychologist | 31 Clinton St, Newark, NJ 07102-3729 | 2016-03-29 |
| 1053789230 | Lisa Hahn | Clinical Neuropsychologist | 916 Maple Ave, Newton, NJ 07860-4404 | 2015-09-04 |
| 1700264256 | Barbara Lauer Listhaus, Psy. D., LLC | Clinical Neuropsychologist | 513 W Mount Pleasant Ave Ste 210, Livingston, NJ 07039-1721 | 2015-05-15 |
| 1295128882 | Anne Romyr Denor | Clinical Neuropsychologist | 30 John St Apt 2c, Bloomfield, NJ 07003-5142 | 2015-03-06 |
| 1811304660 | Mallory Seidman | Clinical Neuropsychologist | 16 Inness Pl, Montclair, NJ 07042-4923 | 2014-07-14 |
| 1811325152 | Amy L. Hradil | Clinical Neuropsychologist | 2048 Oak Tree Road Center for Head Injuries, Cognitive Rehabilitation Progr, Edison, NJ 08820 | 2013-10-24 |
| Find all providers with the same taxonomy | ||||
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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.