MS. MIJEE SHIN (NPI# 1356421036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356421036 |
| Entity Type | Individual |
| Full Name | MS. MIJEE SHIN |
| Credential | M.S. LMFT |
| Practice Address |
130 Maple Ave Suite 5c Red Bank NJ 07701-1734 |
| Practice Telephone | 7322190100 |
| Mailing Telephone | 7322190100 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 37FI00157900 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MHN | 256510 | 01 |
| NJ | AMERIHEALTH | 2318910000 | 01 |
| NJ | OXFORD | P2811426 | 01 |
| NJ | AETNA | 7006352 | 01 |
| Street Address |
130 MAPLE AVE SUITE 5C |
| City | RED BANK |
| State | NJ |
| Zip Code | 07701-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205376 | Schuber C Fan | Psychiatry & Neurology | 130 Maple Ave, Suite 1a, Red Bank, NJ 07701-1734 | 2006-02-22 |
| 1235508607 | Peak Pain Management & Wellness Center | Anesthesiology | 130 Maple Ave, Unit 2a, Red Bank, NJ 07701-1734 | 2015-09-16 |
| 1144658279 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 130 Maple Ave, Ste. 3b, Red Bank, NJ 07701-1734 | 2013-10-29 |
| 1124469572 | Michele M Peters | Dietitian, Registered | 130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734 | 2013-07-15 |
| 1770856023 | Joanne Stavola Lcsw LLC | Counselor | 130 Maple Ave, Suite 5b, Red Bank, NJ 07701-1734 | 2012-02-17 |
| 1710273503 | Wilson Physical Medicine LLC | Specialist | 130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734 | 2011-06-21 |
| 1912225616 | Thomas P. Bilella | Nutritionist | 130 Maple Ave, Building 3, Suite 3, Red Bank, NJ 07701-1734 | 2010-05-06 |
| 1659523371 | Mcm Pt Service | Physical Therapist | 130 Maple Ave, Suite 4a, Red Bank, NJ 07701-1734 | 2008-10-13 |
| 1780883249 | Daniel Joseph Tomasulo | Psychologist | 130 Maple Ave, Bldg. 9, Suite 9, Red Bank, NJ 07701-1734 | 2007-07-15 |
| 1144430059 | Peter C. Rutan | Clinical Neuropsychologist | 130 Maple Ave, Suite 3e, Red Bank, NJ 07701-1734 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353947 | Dawn Marie Campagnola | Marriage & Family Therapist | 200 Maple Ave Ste 100, Red Bank, NJ 07701-1732 | 2008-04-17 |
| 1316497639 | Elizabeth Karlinski | Marriage & Family Therapist | 48 Reckless Pl, Red Bank, NJ 07701-1704 | 2016-10-11 |
| 1972995801 | Dana Poli Labulis | Marriage & Family Therapist | 41 Reckless Pl, Red Bank, NJ 07701-1703 | 2015-03-02 |
| 1609013663 | Jacqueline Hudak | Marriage & Family Therapist | 39 Avenue At The Commons, Suite 106, Red Bank, NJ 07702-4807 | 2009-01-13 |
| 1952465353 | Maggie Smith | Marriage & Family Therapist | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325019 | Nicholas Joseph Spanola | Marriage & Family Therapist | 302 Hawthorne Ave Ste 1, Point Pleasant Beach, NJ 08742-2539 | 2020-10-29 |
| 1598362469 | Kathrine Evans | Marriage & Family Therapist | 216 Neptune Dr, Manahawkin, NJ 08050-1751 | 2020-10-05 |
| 1437756582 | Yung Cha | Marriage & Family Therapist | 180 Undercliff Ave, Edgewater, NJ 07020-1125 | 2020-10-01 |
| 1518574680 | Collaborative Connections LLC | Marriage & Family Therapist | 39 20th Ave Fl 2, Irvington, NJ 07111-4451 | 2020-09-23 |
| 1699381095 | Kenneth Young | Marriage & Family Therapist | 37 Sturgis Rd, Edison, NJ 08817-4039 | 2020-09-21 |
| 1114530060 | Alexander M Cicchino | Marriage & Family Therapist | 11 Cherokee Rd, Cranford, NJ 07016-3360 | 2020-08-28 |
| 1912525874 | Maria S Mora | Marriage & Family Therapist | 41 Marinus St, Rochelle Park, NJ 07662-3805 | 2020-07-08 |
| 1750908869 | Dolly Bosire | Marriage & Family Therapist | 2040 Millburn Ave Ste 303, Maplewood, NJ 07040-3716 | 2020-07-06 |
| 1265059067 | Fresh Start Family Therapy Services | Marriage & Family Therapist | 600 Somerdale Rd Ste 101, Voorhees, NJ 08043-1858 | 2020-06-29 |
| 1033734298 | Gurjot Mondair | Marriage & Family Therapist | 11 Thorn Briar Ln, Burlington, NJ 08016-5131 | 2020-06-13 |
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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.