DR. LAURA ASHLEY FULLER-POLHAMUS (NPI# 1093044653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093044653 |
| Entity Type | Individual |
| Full Name | DR. LAURA ASHLEY FULLER-POLHAMUS |
| Credential | PSY.D |
| Practice Address |
134 W End Ave Somerville NJ 08876-1816 |
| Practice Telephone | 9083334646 |
| Mailing Telephone | 9083334646 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5909 | NJ | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Union St, Lawrence, MA 018401815 | 9786851337 |
| Street Address |
134 W END AVE |
| City | SOMERVILLE |
| State | NJ |
| Zip Code | 08876-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255410080 | Danielle Louise Sciarrino | Social Worker | 134 W End Ave, 2nd Floor, Somerville, NJ 08876-1816 | 2006-11-03 |
| 1760096960 | Erica Taylor Lee | Psychologist | 134 W End Ave, Somerville, NJ 08876-1816 | 2020-09-04 |
| 1174995567 | Amanda Nicole Morales Clarke | Psychologist | 134 W End Ave, Somerville, NJ 08876-1816 | 2015-10-23 |
| 1912377136 | Ashleigh Young | Counselor | 134 W End Ave, Somerville, NJ 08876-1816 | 2015-09-30 |
| 1982019022 | Somerset Psychological Group, Pa | Counselor | 134 W End Ave, Somerville, NJ 08876-1816 | 2014-06-27 |
| 1740568013 | Kimberly D. Goodrich, Lcsw L.L.C. | Counselor | 134 W End Ave, 2nd Floor, Somerville, NJ 08876-1816 | 2011-08-03 |
| 1881922458 | Weiner Goldsmith Development Associates LLC | Psychologist | 134 W End Ave, Second Floor, Somerville, NJ 08876-1816 | 2009-11-19 |
| 1356532998 | Weiner Goldsmith Development Associates | Social Worker | 134 W End Ave, Second Floor, Somerville, NJ 08876-1816 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728999 | Christine Paige Robbins | Speech-Language Pathologist | 21 E High St, 2nd Floor, Somerville, NJ 08876 | 2020-01-04 |
| 1043861339 | County of Somerset | Public Health or Welfare | 27 Warren Street, 3rd Floor, Somerville, NJ 08876 | 2019-09-27 |
| 1275098840 | Ruth Leslie Goldsmith | Social Worker | 134 W End Ave Fl 2, Somerville, NJ 08876 | 2019-02-07 |
| 1114417524 | Dae Kim | Student in an Organized Health Care Education/Training Program | Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 | 2018-05-11 |
| 1881195881 | Fisayo Tunde | Obstetrics & Gynecology | 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 | 2018-02-24 |
| 1972026268 | Deirdre Mccarthy | Physical Therapist | 18 Sunset St., Branchburg, NJ 08876 | 2017-07-19 |
| 1649719964 | Alternatives, Inc. | Community/Behavioral Health | 85-87 Fairview Ave., Somerville, NJ 08876 | 2017-02-20 |
| 1083153308 | Jing Acupuncture Service LLC | Acupuncturist | 3322 Us Highway 22, Bldg 8, 805, Branchburg, NJ 08876 | 2017-02-20 |
| 1326590548 | Physicians Dialysis Somerville, LLC | Clinic/Center | 1 Route 206, North, Somerville, NJ 08876 | 2016-11-04 |
| 1548501679 | Bilal Mian Md Pa | Psychiatry & Neurology | 310 East Mian St, Somerville, NJ 08876 | 2013-03-14 |
| Find all providers in zip 08876 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453162 | Saba Khan | Psychologist | 134 W End Ave Fl 1, Somerville, NJ 08876-1816 | 2018-10-23 |
| 1497131973 | Jaclin Gerstel-friedman | Psychologist | 32 Warren Ave Apt 2, Somerville, MA 02143-3044 | 2015-08-06 |
| 1205124948 | Selda Celen-demirtas | Psychologist | 61 Roseland St Ste 2, Somerville, MA 02143-3536 | 2011-07-15 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1487986485 | Marc David Geller | Psychologist | 337 East Main Street, Somerville, NJ 08876-3109 | 2010-02-02 |
| 1487844569 | Susan Hale Zeichner | Psychologist | 68 Josephine Ave, Somerville, MA 02144-2207 | 2007-07-26 |
| 1275754863 | Diya Kallivayalil | Psychologist | Victims of Violence Program, 26 Central Street, Somerville, MA 02143 | 2007-05-01 |
| 1295875011 | Katherine Tracy Munn | Psychologist | 1 Fitchburg St, #c410, Somerville, MA 02143-2136 | 2007-02-08 |
| 1891849345 | Lee Geltman | Psychologist | 240 A Elm St., Journey Women, Somerville, MA 02144 | 2007-01-22 |
| 1831255967 | Timothy John Butler | Psychologist | 15 Eastman Rd, Somerville, MA 02143-1305 | 2007-01-01 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 08876 |
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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.