JONATHAN KREJCI (NPI# 1174678239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174678239 |
| Entity Type | Individual |
| Full Name | JONATHAN KREJCI |
| Credential | PHD |
| Practice Address |
905 Herrontown Rd Princeton NJ 08540-1901 |
| Practice Telephone | 6094972646 |
| Practice Fax Number | 6092799114 |
| Mailing Telephone | 6094972646 |
| Mailing Fax Number | 6092799114 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00355200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
905 HERRONTOWN RD |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053351080 | Firoz Pushkin Rahman | Psychiatry & Neurology | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2006-06-07 |
| 1306349840 | Jenny Conger | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2018-03-12 |
| 1750894259 | Shannon Paskaris | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2017-11-07 |
| 1881078681 | Princeton House Provider Group LLC | Psychiatry & Neurology | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2015-07-13 |
| 1538560867 | Alexandra Miller | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-09-05 |
| 1922419431 | Shashi Khanna | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-05-19 |
| 1841601358 | Rosolyn Fleishman | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-05-19 |
| 1669894002 | Kathleen Constance Bartolucci | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2014-01-18 |
| 1679904569 | Bridget Thoresen | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2013-12-03 |
| 1851722953 | Ronald Packard | Social Worker | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2013-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| 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 |
|---|---|---|---|---|
| 1407012727 | Tricia Leigh Casey | Clinical Neuropsychologist | 601 Ewing St Ste C12, Princeton, NJ 08540-2759 | 2008-08-06 |
| 1164938056 | The Casey Group for Psychological Services | Clinical Neuropsychologist | 601 Ewing St Ste C12, Princeton, NJ 08540-2759 | 2017-12-14 |
| 1033536578 | Steven Kennelly | Clinical Neuropsychologist | 92 Nassau St, Princeton, NJ 08542-4530 | 2014-03-22 |
| 1215354758 | Princeton Center for Therapy and Assessment, LLC | Clinical Neuropsychologist | 92 Nassau St, Princeton, NJ 08542-4530 | 2014-03-22 |
| 1396022737 | Robert Dean Rhodes | Clinical Neuropsychologist | 199 Elmer St, Princeton, WV 24740-2346 | 2011-11-14 |
| 1104982271 | Lucille Esralew | Clinical Neuropsychologist | 707 Alexander Rd, Suite 208, Princeton, NJ 08540-6331 | 2006-12-30 |
| 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 |
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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.