DR. KENNETH WESLEY GATES (NPI# 1447470570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447470570 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WESLEY GATES |
| Credential | PSY.D. |
| Practice Address |
1247 Sussex Tpke Randolph NJ 07869-2943 |
| Practice Telephone | 9735409586 |
| Practice Fax Number | 9738951383 |
| Mailing Telephone | 9735409586 |
| Mailing Fax Number | 9738951383 |
| Enumeration Date | 2007-04-30 |
| 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 | 2092 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609905009 | Kenneth R. Gates | Counselor | 8600 Us Highway 14, Suite 110, Crystal Lake, IL 60012-2706 | 2007-03-04 |
| 1932154887 | Kenneth Wayne Gates | Social Worker | 4800 Memorial Dr, Waco, TX 76711-1329 | 2006-05-22 |
| Street Address |
1247 SUSSEX TPKE |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659400489 | Lori Rita Lee | Dietitian, Registered | 1247 Sussex Tpke, Suite 230, Randolph, NJ 07869-2943 | 2007-03-05 |
| 1902192685 | Michele Cannata | Psychologist | 1247 Sussex Tpke, Randolph, NJ 07869-2943 | 2011-06-21 |
| 1235460304 | Carol Ann Pellet | Counselor | 1247 Sussex Tpke, Randolph, NJ 07869-2943 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1134788128 | Bhavna Lal | Psychologist | 490 N Main St Ste 2, Randolph, MA 02368-3741 | 2019-06-12 |
| 1548716210 | Tracy Paskiewicz | Psychologist | 44 Diauto Dr # 42, Randolph, MA 02368-4536 | 2016-08-31 |
| 1336571728 | Melissa Sapio | Psychologist | 20 Drake Ct, Randolph, NJ 07869-4851 | 2013-08-07 |
| 1124314125 | Jessica M. Donnelly | Psychologist | 2 Summer St, Suite 3, Randolph, VT 05060-1173 | 2011-06-28 |
| 1912126269 | Paul Harris Yampolsky | Psychologist | 1247 Sussex Tpke Ste 100, Randolph, NJ 07869-2943 | 2007-04-25 |
| 1982786877 | Ilana Lev-el | Psychologist | 20 Oak Dr, Randolph, NJ 07869-4809 | 2006-10-19 |
| 1346337243 | Susan S. Neigher | Psychologist | 1201 Sussex Tpke, Suite 104c, Randolph, NJ 07869-2974 | 2006-10-10 |
| 1437165859 | Sylvia Fask | Psychologist | 10 Ash Ln, Randolph, NJ 07869-4757 | 2006-07-31 |
| 1558399543 | Gina E. Rayfield, Ph.d., PC | Psychologist | 24 E Logan Rd, Randolph, NJ 07869-2622 | 2006-06-29 |
| 1124643432 | Kayla Ruth Gordon | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-11 |
| Find all providers in RANDOLPH | ||||
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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.