DR. JESSICA ELIZABETH SHABO (NPI# 1275869612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275869612 |
Entity Type | Individual |
Full Name | DR. JESSICA ELIZABETH SHABO |
Credential | M.D. |
Practice Address |
183 South Orange Ave Bhsb E-1447 Psychiatry Department Newark NJ 07101-1709 |
Practice Telephone | 9739724678 |
Mailing Telephone | 9739724678 |
Enumeration Date | 2009-10-20 |
Last Update Date | 2009-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA08646100 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
183 SOUTH ORANGE AVE BHSB E-1447 PSYCHIATRY DEPARTMENT |
City | NEWARK |
State | NJ |
Zip Code | 07101-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457398661 | Isabel Allen-steinfeld | Psychiatry & Neurology | 183 South Orange Ave, Newark, NJ 07103 | 2006-05-31 |
1285139352 | Heather Wurtz | Student in an Organized Health Care Education/Training Program | 183 South Orange Ave, Behavioral Health Science Bldg E 1452, Newark, NJ 07101 | 2018-03-29 |
1689910499 | Monique Ridley | Counselor | 183 South Orange Ave, Newark, NJ 07102 | 2012-12-26 |
1700029584 | Justin George | Counselor | 183 South Orange Ave, Newark, NJ 07103-0000 | 2009-04-09 |
1881835080 | Susan Carrington-royal | Counselor | 183 South Orange Ave, Newark, NJ 07103 | 2009-03-18 |
1245476415 | Debra L Waksberg | Social Worker | 183 South Orange Ave, Newark, NJ 07103 | 2008-12-18 |
1013171917 | Vidal Annan | Psychologist | 183 South Orange Ave, Newark, NJ 07103 | 2008-07-10 |
1447411673 | Lauren Sullivan | Counselor | 183 South Orange Ave, Newark, NJ 07103 | 2008-06-20 |
1366603599 | Margarita Torres | Counselor | 183 South Orange Ave, Newark, NJ 07103 | 2008-06-20 |
1356502587 | Ereka Sweat | Counselor | 183 South Orange Ave, Newark, NJ 07103 | 2008-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043788300 | Winner & Associates, LLC | Counselor | 1004 Broad Street (suite 206), Newark, NJ 07101 | 2018-11-05 |
1679068373 | Diego David Garces Grosse | Student in an Organized Health Care Education/Training Program | 183 South Orange Avenue - Level F, Newark, NJ 07101 | 2018-06-25 |
1659880672 | Vanessa Latouche | Social Worker | 183 S Orange Ave. C-level, Newark, NJ 07101 | 2017-09-21 |
1295269397 | Anand Rajen Desai | Student in an Organized Health Care Education/Training Program | 185 South Orange Street, Newark, NJ 07101 | 2017-04-14 |
1942655568 | Ahmed Bilal Sheikh | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07101 | 2016-05-02 |
1558758524 | Hyunseok Kim | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh-i248, Newark, NJ 07101 | 2015-04-17 |
1750776951 | David Christopher Palange | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb G-538, Newark, NJ 07101 | 2015-04-03 |
1720340649 | Noah Aram Melikian | Student in an Organized Health Care Education/Training Program | 183 South Orange Ave., Dept of Psychiatry, Newark, NJ 07101 | 2012-06-15 |
1902125701 | Atuhani Seth Burnett | Surgery | 150 Bergen Street, Suite E-401, Newark, NJ 07101 | 2010-05-19 |
1427200385 | Gary Todd Fishbein | Dentist | 150 Bergen Street, Unit 1, Room C-401, Newark, NJ 07101 | 2008-10-22 |
Find all providers in zip 07101 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205218757 | Markian Yuriy Pazuniak | Psychiatry & Neurology | 4755 Ogletown Stanton Rd Ste 116, Newark, DE 19718-2200 | 2015-06-22 |
1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
1396205563 | Essex Psychiatric Center for Children & Adults LLC | Psychiatry & Neurology | 111 Central Ave, Newark, NJ 07102-1909 | 2019-03-22 |
1972845410 | Tenzing Yangchen | Psychiatry & Neurology | 183 S Orange Ave, Newark, NJ 07103 | 2013-03-22 |
1003127101 | Ayesha Silman | Psychiatry & Neurology | 100 Rockford Dr, Newark, DE 19713-2120 | 2010-06-23 |
1194982900 | Cecilia Del Carmen Belardinelli | Psychiatry & Neurology | 183 S Orange Ave, Newark, NJ 07103-2757 | 2008-05-20 |
1578574919 | Charles W Snyder | Psychiatry & Neurology | 1445 W Main St, Newark, OH 43055-1989 | 2006-08-11 |
1679583272 | University Physician Associates of New Jersey Inc | Psychiatry & Neurology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
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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.