DR. MICHELLE MARIE WANKMULLER (NPI# 1467917633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467917633 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARIE WANKMULLER |
| Credential | PH.D. |
| Practice Address |
1605 John St Ste 205b Fort Lee NJ 07024-2581 |
| Mailing Address |
1260 Sleepy Hollow Ln Scotch Plains NJ 07076-2230 |
| Practice Telephone | 9175894939 |
| Mailing Telephone | 9175894939 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00598800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1605 JOHN ST STE 205B |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083040232 | Bergen Psychological Services, LLC | Psychologist | 1605 John St Ste 208, Fort Lee, NJ 07024-2550 | 2013-09-19 |
| 1619136173 | Paul Jacobs | Psychologist | 1 Horizon Rd, Apt. 1423, Fort Lee, NJ 07024-6502 | 2008-06-09 |
| 1770703324 | Diane Marie Harris | Psychologist | 701 27th St Bldg 8135, Ft. Lee Asap, Fort Lee, VA 23801-2707 | 2007-04-26 |
| 1104042431 | Andiea Hedayat-harris | Psychologist | 2215 N Central Rd, Apt. 4g, Fort Lee, NJ 07024-7551 | 2007-04-17 |
| 1982737771 | N John Lombardi | Psychologist | 1319 Anderson Avenue, Fort Lee, NJ 07740-1770 | 2007-03-13 |
| 1164559001 | Center for Psychological & Forensic Services Inc | Psychologist | 2337 Lemoine Avenue Suite 201, Fort Lee, NJ 07024 | 2007-02-27 |
| 1215032040 | Samuel Eli Menahem | Psychologist | 2083 Center Ave, Suite G, Fort Lee, NJ 07024 | 2006-09-14 |
| 1295204550 | Karin Gepp | Psychologist | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2018-11-16 |
| 1447565429 | David Robert Moody | Psychologist | 700 24th St, Fort Lee, VA 23801-1716 | 2010-08-13 |
| 1245468651 | Daphne Simmons Bethune | Psychologist | 700 24th St, Fort Lee, VA 23801-1716 | 2009-06-24 |
| Find all providers in FORT LEE | ||||
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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.