DR. GINA RUDOLPH (NPI# 1215107503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215107503 |
| Entity Type | Individual |
| Full Name | DR. GINA RUDOLPH |
| Credential | PSY.D. |
| Practice Address |
205 Route 9 N Suite # 6 Freehold NJ 07728-8561 |
| Practice Telephone | 7322397208 |
| Practice Fax Number | 7322397208 |
| Mailing Telephone | 7322397208 |
| Mailing Fax Number | 7322397208 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4513 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811160443 | Gina Marie Rudolph | Counselor | 373 Burrows St, Pittsburgh, PA 15213-2201 | 2008-04-03 |
| Street Address |
205 ROUTE 9 N SUITE # 6 |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548322480 | Lisa Harmon Mollicone | Counselor | 205 Route 9 N, Suite 26, Freehold, NJ 07728-8561 | 2006-12-15 |
| 1215186184 | Central Jersey Psychological Services, LLC | Clinic/Center | 205 Route 9 N, Suite # 6, Freehold, NJ 07728-8561 | 2008-09-16 |
| 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 |
| 1720274756 | Cynthia A. Mulligan | Psychologist | 149 W Main St, Freehold, NJ 07728-2051 | 2007-09-24 |
| 1306064753 | Eleanor A Siegel | Psychologist | 495 Iron Bridge Rd, Suite 8, Freehold, NJ 07728-3069 | 2007-04-23 |
| Find all providers in FREEHOLD | ||||
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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.