DR. JESSICA DEGAETANO (NPI# 1205355542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205355542 |
| Entity Type | Individual |
| Full Name | DR. JESSICA DEGAETANO |
| Other Name | DR. JESSICA MCCARTHY |
| Credential | PSY.D. |
| Practice Address |
195 Mountain Ave Springfield NJ 07081-1755 |
| Mailing Address |
36 Cottage Ln Upper Saddle River NJ 07458-1306 |
| Practice Telephone | 9738504622 |
| Practice Fax Number | 9738504621 |
| Mailing Telephone | 9085918612 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00584600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
195 MOUNTAIN AVE |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294493 | Michelle Papka Puri | Clinical Neuropsychologist | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2006-05-22 |
| 1134778780 | Alicia Ellen O'connor | Social Worker | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2019-09-06 |
| 1881010643 | The Cognitive and Research Center of New Jersey, LLC | Clinic/Center | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2014-03-17 |
| 1487663159 | Roger M Kurlan | Psychiatry & Neurology | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| 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 |
|---|---|---|---|---|
| 1194850859 | Murrell Counseling Service, LLC | Clinical Neuropsychologist | 2200 E Sunshine St Ste 312, Springfield, MO 65804-1883 | 2007-02-22 |
| 1356424972 | Frederick A Ulam IIi | Clinical Neuropsychologist | 516 E Catalpa St, Springfield, MO 65807-1614 | 2006-10-24 |
| 1205864998 | Deborah A. Fein | Clinical Neuropsychologist | 155 Maple St, Suite 407, Springfield, MA 01105-1828 | 2006-06-29 |
| 1346294493 | Michelle Papka Puri | Clinical Neuropsychologist | 195 Mountain Ave, Springfield, NJ 07081-1755 | 2006-05-22 |
| 1306843735 | Michael Whetstone | Clinical Neuropsychologist | 2115 S Fremont Ave Ste 3000, Springfield, MO 65804-2215 | 2005-06-30 |
| 1437773454 | Alphonso Smith | Clinical Neuropsychologist | 319 E Madison St Fl 3, Springfield, IL 62701-1035 | 2020-06-05 |
| 1093349888 | Lindsay Nguyen Vo | Clinical Neuropsychologist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-03-02 |
| 1992289425 | Jacob Levi Priluck | Clinical Neuropsychologist | 6120 Brandon Ave, Springfield, VA 22150-2522 | 2018-09-20 |
| 1295230431 | Jessica Di Marco | Clinical Neuropsychologist | 29 Ridgewood Rd, Springfield, VT 05156-3060 | 2018-03-29 |
| 1124566948 | Elizabeth Howell Mitchell Burns | Clinical Neuropsychologist | 3300 Main St, Springfield, MA 01107-1112 | 2017-02-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 07081 |
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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.