CYNTHIA RACHEL GREEN


Address: 1 Erwin Park, Montclair, NJ 07042-3017
Phone: 9736550422

CYNTHIA RACHEL GREEN (NPI# 1881721215) 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) 1881721215
Entity Type Individual
Full Name CYNTHIA RACHEL GREEN
Credential PH.D.
Practice Address 1 Erwin Park
Montclair
NJ 07042-3017
Practice Telephone 9736550422
Mailing Telephone 9736550422
Enumeration Date 2007-02-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
011026-1 NY Behavioral Health & Social Service Providers

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Office Location

Street Address 1 ERWIN PARK
City MONTCLAIR
State NJ
Zip Code 07042-3017

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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1386857001 Sandra M Feldman Psychologist 9 Calvin Pl, Metuchen, NJ 08840-2450 2007-05-08
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Competitor

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City MONTCLAIR
Zip Code 07042

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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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