DR. KAREN MICHELLE FAHERTY (NPI# 1477616670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477616670 |
| Entity Type | Individual |
| Full Name | DR. KAREN MICHELLE FAHERTY |
| Credential | PH.D. |
| Practice Address |
130 Maple Ave 5b Red Bank NJ 07701-1734 |
| Practice Telephone | 7327479221 |
| Mailing Telephone | 7327479221 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 4362 | NJ | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 0132182 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0131282 | NY | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
4362 | NJ | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
4362 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
130 MAPLE AVE 5B |
| 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 | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316472293 | Dr Dibenedetto Psychology Practice | Psychologist | 87 Maple Ave, Red Bank, NJ 07701-1619 | 2017-04-27 |
| 1598210254 | Lawrence Stein, Phd., Pa | Psychologist | 316 Broad St Ste 1, Red Bank, NJ 07701-2155 | 2016-08-23 |
| 1720397912 | Gina Marie Diarchangel | Psychologist | 157 Broad St Ste 301, Red Bank, NJ 07701-2013 | 2010-10-05 |
| 1174710396 | Susan Elaine Hickman | Psychologist | 3212 Dayton Blvd Ste B, Red Bank, TN 37415-5046 | 2007-10-02 |
| 1801913181 | Tamara Latawiec | Psychologist | 43 W Front St Ste 18, Red Bank, NJ 07701-1600 | 2007-03-23 |
| 1205850468 | Alan Bryan Zwerdling | Psychologist | 170 State Route 35, Red Bank, NJ 07701-5929 | 2006-07-27 |
| 1659814853 | Marnie Fegan, Psy.d., P.C. | Psychologist | 272 Broad St, 2nd Floor, Red Bank, NJ 07701-2044 | 2016-11-21 |
| 1528425527 | Belay Psychological Services, LLC | Psychologist | 210 W Front St Ste 208, Red Bank, NJ 07701-1171 | 2016-01-21 |
| 1487094959 | Nicole Rebecca Amoyal-pensak | Psychologist | 210 Broad St, Red Bank, NJ 07701-2060 | 2013-06-28 |
| 1275776072 | Bari L Marshall-heslin | Psychologist | 41 Reckless Pl, Red Bank, NJ 07701-1703 | 2009-04-09 |
| Find all providers in RED BANK | ||||
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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.