DR. BLAKE EVAN KIRSCHNER (NPI# 1073821351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073821351 |
| Entity Type | Individual |
| Full Name | DR. BLAKE EVAN KIRSCHNER |
| Credential | PSY.D. |
| Practice Address |
299 Orange Rd Floor 1 Montclair NJ 07042-4420 |
| Practice Telephone | 5039339837 |
| Mailing Telephone | 5039339837 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2015-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00554300 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35SI00554300 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
299 ORANGE RD FLOOR 1 |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306352356 | Leore J Faber | Psychologist | 51 Upper Montclair Plz Ste 2, Montclair, NJ 07043-1340 | 2017-12-28 |
| 1114396835 | Montclair Memory Clinic LLC | Psychologist | 70 Park Street, Suite 207, Montclair, NJ 07042-2960 | 2015-09-23 |
| 1699172338 | Arthur Lee Pressley Jr. | Psychologist | 50 Church Street, Montclair, NJ 07042 | 2014-11-24 |
| 1891102893 | Sam John Tsemberis | Psychologist | 27 Warren Pl, Montclair, NJ 07042-2528 | 2014-07-22 |
| 1790034072 | Allen Roth Educational and Psychological Services | Psychologist | 36 Park St, Montclair, NJ 07042-3440 | 2012-09-02 |
| 1245443563 | James G. Garofallou | Psychologist | 82 Midland Ave, Montclair, NJ 07042-2916 | 2007-05-07 |
| 1801008883 | Peggy Van Raalte | Psychologist | 19 Brunswick Rd, Montclair, NJ 07042-3027 | 2007-05-04 |
| 1528283785 | Frank James Trankina | Psychologist | 11144 Buckskin Ave, Montclair, CA 91763-6400 | 2007-04-14 |
| 1952442303 | Arnold Wilson | Psychologist | 144 Union St, Montclair, NJ 07042-2124 | 2007-02-09 |
| 1356354245 | Robert Raymond | Psychologist | 408 Bloomfield Ave Ste A-1, Montclair, NJ 07042-3573 | 2006-08-14 |
| Find all providers in MONTCLAIR | ||||
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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.