DR. JONATHAN H. MACK (NPI# 1346303161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346303161 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN H. MACK |
| Credential | PSY.D. |
| Practice Address |
800 Denow Rd Ste S Pennington NJ 08534-5246 |
| Practice Telephone | 6098908844 |
| Practice Fax Number | 6098908817 |
| Mailing Telephone | 6098908844 |
| Mailing Fax Number | 6098908817 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00232100 | NJ | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | S102321 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230747 | Jonathan Frederick Mack | Nurse Practitioner | 6822 Lake Ct, San Diego, CA 92111-7023 | 2009-08-12 |
| 1295784353 | Jonathan Trimble Mack | Counselor | 7109 Prospect Pl Ne, Albuquerque, NM 87110-4313 | 2006-05-08 |
| 1275522625 | Jonathan Eberhard Mack | Orthopaedic Surgery | 185 Queen City Ave, Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101-7100 | 2005-10-18 |
| Street Address |
800 DENOW RD STE S |
| City | PENNINGTON |
| State | NJ |
| Zip Code | 08534-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397116 | Ashton J Brunn | Psychologist | 800 Denow Rd Ste S, Pennington, NJ 08534-5246 | 2018-12-17 |
| 1437620663 | Jarrett W. Henderson | Clinical Neuropsychologist | 800 Denow Rd Ste S, Pennington, NJ 08534-5246 | 2018-12-16 |
| 1548323371 | Forensic Psychology & Neuropsychology Services,p.c. | Psychologist | 800 Denow Rd Ste S, Pennington, NJ 08534-5246 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1033751904 | Theresa Marie Archer | Registered Nurse | 108 Straube Center Blvd Suite I-17, Pennington, NJ 08534 | 2019-10-12 |
| 1295216059 | Confidentialistener LLC | Psychologist | 106 Straube Ctr Blvd Ste F112, Pennington, NJ 08534 | 2018-08-28 |
| 1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
| 1942711650 | Robert Vincent Simone | Social Worker | 65 South Main Street, Bldg. B Suite B-103, Pennington, NJ 08534 | 2017-10-20 |
| 1568980266 | Oaks Integrated Care | Clinic/Center | 720 Heritage Ct, Pennington, NJ 08534 | 2017-09-01 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1891220174 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1124553409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1215486147 | Janine Disanti | Optometrist | Two Capital Way, Suite 326, Matossian Eye Associates, Pennington, NJ 08534 | 2016-10-04 |
| Find all providers in zip 08534 | ||||
| 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 |
|---|---|---|---|---|
| 1437620663 | Jarrett W. Henderson | Clinical Neuropsychologist | 800 Denow Rd Ste S, Pennington, NJ 08534-5246 | 2018-12-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PENNINGTON |
| Zip Code | 08534 |
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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.