DR. JONATHAN DAVID WALL (NPI# 1366463143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366463143 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID WALL |
| Credential | PSY.D. |
| Practice Address |
27 Center St Clinton NJ 08809-1340 |
| Practice Telephone | 9082951890 |
| Practice Fax Number | 9087356871 |
| Mailing Telephone | 9082951890 |
| Mailing Fax Number | 9087356871 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35S100364200 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0070815 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702093 | Jonathan Wall | Pharmacist | 309 Central Ave, Butner, NC 27509-2315 | 2020-05-21 |
| 1578764387 | Jonathan Robert Wall | Specialist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-05-30 |
| Street Address |
27 CENTER ST |
| City | CLINTON |
| State | NJ |
| Zip Code | 08809-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700394244 | Hunterdon Regional Community Health | Acupuncturist | 1738 Rt 31 Ste 204, Clinton, NJ 08809 | 2018-01-18 |
| 1356868236 | Gwendolyn Blake | Counselor | 65 Old Rt. 22, Suite 7b, Clinton, NJ 08809 | 2017-08-23 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1861882011 | Freedom House Inc | Clinic/Center | 2004 Route 31 North, Suite 2, Clinton, NJ 08809 | 2015-01-27 |
| 1689062952 | Ladan Abbasi | Nurse Practitioner | 1738 Route 31 North, Vein Institute of Hunterdon, Clinton, NJ 08809 | 2015-01-08 |
| 1508118027 | Robert Konowitz | Chiropractor | 1630 Route 31 North, Clinton, NJ 08809 | 2012-10-08 |
| 1881909232 | Jhansi Rani Poreddy | Pharmacist | 37 Old Route 22, Clinton, NJ 08809 | 2010-08-10 |
| 1306039110 | Cheryl H. Orenstein | Dentist | 1630 Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| 1356534184 | Aldo A Freda | Dentist | 1630 Route 31, State Rt 31, Clinton, NJ 08809 | 2007-08-24 |
| Find all providers in zip 08809 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972622 | Suzanne Jourdan | Psychologist | 107 Hunters Pointe Ct, Clinton, MS 39056-3148 | 2015-01-15 |
| 1871993048 | Anita Craft | Psychologist | 119 Countrywood Cir, Clinton, MS 39056-5716 | 2014-08-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1407065519 | Pamela H. Gross | Psychologist | 1729 Dutch Valley Rd, Clinton, TN 37716-5116 | 2007-05-22 |
| 1578693396 | Laura Segal | Psychologist | 42 Main St Ste 7, Clinton, NJ 08809-2634 | 2007-03-07 |
| 1851430755 | Edward J Murphy | Psychologist | 10 Rupells Rd, Clinton, NJ 08809-1226 | 2007-02-06 |
| 1619074333 | Marsha F Morris | Psychologist | 6 Leigh St, Clinton, NJ 08809-1310 | 2006-09-17 |
| 1407952971 | Janet Marie Drew | Psychologist | 215 6th Ave S, Ste 25, Clinton, IA 52732-4338 | 2006-09-15 |
| 1346294535 | A Michael Salinger | Psychologist | 135 S Washington St, Clinton, MO 64735-2033 | 2006-05-20 |
| 1568468841 | Philip L Briley | Psychologist | 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 | 2005-06-22 |
| Find all providers in CLINTON | ||||
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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.