DR. KATHLEEN MCNULTY (NPI# 1770619066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770619066 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MCNULTY |
| Credential | L.C.S.W., PHD |
| Practice Address |
20 West Ridgewood Avenue, Suites 5 & 6 Ridgewood NJ 07450-3705 |
| Mailing Address |
453 Wildwood Rd Northvale NJ 07647-1219 |
| Practice Telephone | 2014444010 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35S100513600 | NJ | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SC00840400 | NJ | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851522809 | Kathleen Mcnulty | Occupational Therapist | 9704candacecourt, Glenallen, UT 23060 | 2009-08-06 |
| 1023027414 | Kathleen Fenno Mcnulty | Social Worker | 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 | 2006-08-05 |
| 1922317346 | Kathleen Mcnulty | Occupational Therapist | 2904 Seminary Dr, Greensburg, PA 15601-3786 | 2010-10-04 |
| 1740400928 | Kathleen Marie Mcnulty | Social Worker | 4848 Battery Lane, Suite 202, Bethesda, MD 20814 | 2007-04-27 |
| 1124187596 | Kathleen S Mcnulty | Social Worker | 125 E Lake St, Suite 206, Bloomingdale, IL 60108 | 2006-12-08 |
| 1518977537 | Kathleen A Mcnulty | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2006-08-09 |
| Street Address |
20 WEST RIDGEWOOD AVENUE, SUITES 5 & 6 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891181368 | William Somerville | Psychologist | 1639 Centre St # 141, Ridgewood, NY 11385-5335 | 2015-04-12 |
| 1407059082 | Alnetta Lyshawn Hooper | Psychologist | 38 E Ridgewood Ave, Pmb 212, Ridgewood, NJ 07450-3808 | 2007-06-08 |
| 1992926638 | Robin Deborah Kanen | Psychologist | 76 West Ridgewood Ave., Ridgewood, NJ 07450 | 2007-05-01 |
| 1235355769 | Lifespan Psychological Associates, LLC | Psychologist | 615 Franklin Tpke Ste 1, Ridgewood, NJ 07450-1903 | 2007-04-17 |
| 1447304522 | Thomas J Hurwitz | Psychologist | 1 Prospect Street, Suite 1, Ridgewood, NJ 07450-4404 | 2007-01-23 |
| 1154472751 | Michael Amatrula | Psychologist | 1172 E. Ridgewood Ave., Suite #9, Ridgewood, NJ 07450 | 2007-01-12 |
| 1093863623 | Laura Epstein Rosen | Psychologist | 1 Prospect St Ste 6, Ridgewood, NJ 07450-4421 | 2007-01-08 |
| 1437219011 | Amanda Rose O'brien Milleisen | Psychologist | 1 Prospect St Ste 4-7, Ridgewood, NJ 07450-4404 | 2006-12-12 |
| 1710065057 | Sharon Mcgovern Wolbert | Psychologist | 244 S Pleasant Ave, Ridgewood, NJ 07450-5338 | 2006-11-02 |
| 1457438210 | Donald A Skinner | Psychologist | 172 Franklin Ave, Suite 4b, Ridgewood, NJ 07450-3250 | 2006-11-01 |
| Find all providers in RIDGEWOOD | ||||
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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.