GINA M RADICE (NPI# 1174962088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174962088 |
Entity Type | Individual |
Full Name | GINA M RADICE |
Credential | M.A |
Practice Address |
3499 Route 9 N Ste 2c Freehold NJ 07728 |
Mailing Address |
175 E Hawthorn Pkwy Ste 235 Vernon Hills IL 60061-1454 |
Practice Telephone | 7329822888 |
Practice Fax Number | 8478595885 |
Mailing Telephone | 8477378768 |
Mailing Fax Number | 8478595885 |
Enumeration Date | 2013-06-24 |
Last Update Date | 2018-09-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | R01022887455892 | NJ | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00585900 | NJ | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3095 Kettering Blvd, Moraine, OH 454391983 | 9372398300 | |
3499 Rte 9 Ste 2c, Freehold, NJ 07728 | 7329822888 | 8478595885 |
Street Address |
3499 ROUTE 9 N STE 2C |
City | FREEHOLD |
State | NJ |
Zip Code | 07728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323808 | Jenna Carbin | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2020-10-14 |
1942807565 | Casey Sponring | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2020-10-06 |
1316418510 | Agnieszka Raczynski | Marriage & Family Therapist | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-12-16 |
1306315379 | Diane Girgis | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-11-19 |
1134696586 | Kescy Mathurin | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-10-24 |
1588139067 | Rosa Gomez | Marriage & Family Therapist | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-10-10 |
1295217446 | Lauren Methven | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-09-04 |
1578043543 | Carissa Ali | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-08-18 |
1699264804 | Arielle Scheck | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-05-02 |
1164923157 | Ashley Staggard | Counselor | 3499 Route 9 N Ste 2c, Freehold, NJ 07728-3277 | 2018-02-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
Find all providers in zip 07728 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346770799 | Mayra A. Nunez Zapata | Psychologist | 509 Stillwells Corner Rd Ste 7, Freehold, NJ 07728-2965 | 2017-06-19 |
1902907660 | Freehold Psychology Group | Psychologist | 149 W Main St, Freehold, NJ 07728-2051 | 2006-09-26 |
1326528373 | Rebecca T Edelsberg | Psychologist | 509 Stillwells Corner, Building E, Suite 7, Freehold, NJ 07728 | 2018-08-20 |
1215390570 | Nover Psychological Services, LLC | Psychologist | 75 W Main St, Freehold, NJ 07728-2114 | 2016-04-03 |
1851795819 | Donna Mcgee | Psychologist | 590 Park Ave, Suite 1-c, Freehold, NJ 07728-2380 | 2014-10-20 |
1508148073 | Stephanie L Sasso | Psychologist | 90 W Main St, Freehold, NJ 07728-2144 | 2011-09-12 |
1992944920 | Christine Dorothy Adkins-hutchison | Psychologist | 149 W Main St, Freehold, NJ 07728-2051 | 2009-02-14 |
1992951776 | John William Rosado Jr. | Psychologist | 149 W Main St, Freehold, NJ 07728-2051 | 2008-08-13 |
1215107503 | Gina Rudolph | Psychologist | 205 Route 9 N, Suite # 6, Freehold, NJ 07728-8561 | 2008-03-03 |
1720274756 | Cynthia A. Mulligan | Psychologist | 149 W Main St, Freehold, NJ 07728-2051 | 2007-09-24 |
Find all providers in FREEHOLD |
Please comment or provide details below to improve the information on GINA M RADICE.
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.