VIDAL ANNAN


Address: 183 South Orange Ave, Newark, NJ 07103
Phone: 8009695300

VIDAL ANNAN (NPI# 1013171917) 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) 1013171917
Entity Type Individual
Full Name VIDAL ANNAN
Practice Address 183 South Orange Ave
Newark
NJ 07103
Mailing Address 671 Hoes Ln W
Piscataway
NJ 08854-8021
Practice Telephone 8009695300
Enumeration Date 2008-07-10
Last Update Date 2008-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 183 SOUTH ORANGE AVE
City NEWARK
State NJ
Zip Code 07103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457398661 Isabel Allen-steinfeld Psychiatry & Neurology 183 South Orange Ave, Newark, NJ 07103 2006-05-31
1285139352 Heather Wurtz Student in an Organized Health Care Education/Training Program 183 South Orange Ave, Behavioral Health Science Bldg E 1452, Newark, NJ 07101 2018-03-29
1689910499 Monique Ridley Counselor 183 South Orange Ave, Newark, NJ 07102 2012-12-26
1275869612 Jessica Elizabeth Shabo Psychiatry & Neurology 183 South Orange Ave, Bhsb E-1447 Psychiatry Department, Newark, NJ 07101-1709 2009-10-20
1700029584 Justin George Counselor 183 South Orange Ave, Newark, NJ 07103-0000 2009-04-09
1881835080 Susan Carrington-royal Counselor 183 South Orange Ave, Newark, NJ 07103 2009-03-18
1245476415 Debra L Waksberg Social Worker 183 South Orange Ave, Newark, NJ 07103 2008-12-18
1447411673 Lauren Sullivan Counselor 183 South Orange Ave, Newark, NJ 07103 2008-06-20
1366603599 Margarita Torres Counselor 183 South Orange Ave, Newark, NJ 07103 2008-06-20
1356502587 Ereka Sweat Counselor 183 South Orange Ave, Newark, NJ 07103 2008-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124641782 Barbara Belford, Phd, Inc Psychologist 314 E Main St Ste 104, Newark, DE 19711-7180 2020-05-18
1932754595 Psychological Services P.a. Psychologist 850 Library Ave Ste 104, Newark, DE 19711-7170 2019-08-09
1619486750 Ruth Robinson-nelson Psychologist 300 Creek View Rd Ste 101, Newark, DE 19711-8547 2017-09-20
1558722926 Psychological Consulting Services Psychologist 182 Van Buren St, Newark, NJ 07105-2638 2016-03-14
1821423492 Kathleen J. Cherry Psychologist 218 Cullen Way, Newark, DE 19711-6112 2013-09-13
1609127638 Robin O. Belcher-timme Psychologist F-52 Omega Drive, Newark, DE 19713 2012-10-01
1184932535 Annie Thanh-yen Du Psychologist 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 2010-09-20
1508038035 Jeffrie J Silverberg Psychologist 303 Shisler Ct, Newark, DE 19702-1341 2008-03-25
1851594394 Susan Kathleen Lynch Psychologist 15 Chestnut Hill Road, 19, Newark, DE 19713 2007-06-11
1306069414 Tell Psychological Services, LLC Psychologist 1794 Sutton Pl, Newark, OH 43055-9093 2007-04-10
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Competitor

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City NEWARK
Zip Code 07103

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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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