JILL BROOK (NPI# 1881909224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881909224 |
| Entity Type | Individual |
| Full Name | JILL BROOK |
| Credential | PHD |
| Practice Address |
205 Main St Gladstone NJ 07934-2059 |
| Mailing Address |
Po Box 542 Gladstone NJ 07934-0542 |
| Practice Telephone | 9087197555 |
| Practice Fax Number | 9087197523 |
| Mailing Telephone | 9087197555 |
| Mailing Fax Number | 9087197523 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00290300 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
205 MAIN ST |
| City | GLADSTONE |
| State | NJ |
| Zip Code | 07934-2059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831253418 | Elyse A Warns | Specialist | St. Bernard's Road, Gladstone, NJ 07934 | 2006-12-20 |
| 1467577262 | Glen Depino | Specialist/Technologist | St . Bernard's Rd, Gladstone, NJ 07934-0604 | 2007-03-20 |
| 1588134225 | Sarah Meinwieser | Behavioral Analyst | 70 Mendham Rd, Gladstone, NJ 07934-2122 | 2018-11-26 |
| 1114096815 | Jeffrey Hammond | Surgery | 15 Mendham Rd, Gladstone, NJ 07934-2123 | 2006-11-07 |
| 1053562942 | Linda R Degaeta | Radiology | 20 Sheephill Dr, Gladstone, NJ 07934-2129 | 2008-10-09 |
| 1841359379 | Gulbir (dina) K Anand | Internal Medicine | 11 Sheephill Dr, Gladstone, NJ 07934-2131 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071106 | Serenity Chiropractic, LLC | Clinic/Center | 2870 Ne Kendallwood Pkwy Ste B, Gladstone, MO 64119-2026 | 2020-10-24 |
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1659981157 | Dominion Precision Teaching and Consulting | Community/Behavioral Health | 6235 W James Anderson Hwy, Gladstone, VA 24553-3520 | 2020-08-09 |
| 1437769296 | Speak U.p. Speech Therapy | Clinic/Center | 9745 N.5 Rd, Gladstone, MI 49837-8818 | 2020-08-06 |
| 1619585189 | His Glory LLC | In Home Supportive Care | 5717 N Garfield Ave, Gladstone, MO 64118-5658 | 2020-07-21 |
| 1508484270 | Patricia Ann Combs | Massage Therapist | 255 E. Dartmouth St., Gladstone, OR 97027 | 2020-07-09 |
| 1780200022 | Andrew Anderson | Nurse Practitioner | 208 Michigan Ave, Gladstone, MI 49837-1914 | 2020-06-23 |
| 1235765967 | Catherine J Blanch | Social Worker | 5602 N Highland Ave, Gladstone, MO 64118-5410 | 2020-03-13 |
| 1588294359 | Nancy J Parham | Registered Nurse | 6910 N Holmes St Ste 231, Gladstone, MO 64118-2666 | 2020-01-21 |
| 1811535834 | Jeremy Riddle | Counselor | 455 Portland Ave, Gladstone, OR 97027-2452 | 2019-12-20 |
| Find all providers in GLADSTONE | ||||
| 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 |
|---|---|---|---|---|
| 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.