DR. CAROL S MCCREA (NPI# 1497935068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497935068 |
| Entity Type | Individual |
| Full Name | DR. CAROL S MCCREA |
| Credential | PH.D. |
| Practice Address |
27 Mountain Blvd. Suite 10 Warren NJ 07059-2411 |
| Practice Telephone | 9087040770 |
| Practice Fax Number | 9082797948 |
| Mailing Telephone | 9087040770 |
| Mailing Fax Number | 9082797948 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
37LC00037200 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00372200 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
35SI003722 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
27 MOUNTAIN BLVD. SUITE 10 |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235408 | Kearisten Gaines | Psychologist | 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 | 2020-11-04 |
| 1649897273 | Regina Margaret Edmonds | Psychologist | 971 Old West Brookfield Rd, Warren, MA 01083-2130 | 2020-06-30 |
| 1073064762 | Olesya Bachynska | Psychologist | 4259 Sudbury Dr, Warren, MI 48092-5145 | 2016-10-18 |
| 1205389855 | Kelsey Rae Shelton | Psychologist | 1155 Niles Cortland Rd Se, Warren, OH 44484-2542 | 2016-08-01 |
| 1265854830 | Kenya Holden | Psychologist | 26185 Regency Club Dr Apt 4, Warren, MI 48089-6242 | 2014-01-15 |
| 1356503577 | Eugene Matthew Schimmel | Psychologist | 29421 Ryan Rd, Warren, MI 48092-2203 | 2008-06-29 |
| 1538346440 | Carolyn Richards Johnson | Psychologist | 672 Atlantic Hwy, Warren, ME 04864-4314 | 2008-01-23 |
| 1528287612 | Kevin Prosnick | Psychologist | 154 Hogan Ln Ne, Warren, OH 44484-5545 | 2007-04-25 |
| 1215081948 | Leonard Craig Sitrin | Psychologist | 65 Mountain Blvd., Suite 210, Warren, NJ 07059-5658 | 2007-01-22 |
| 1457417578 | William S. Mcgurk | Psychologist | 81 Union St, Warren, RI 02885-3046 | 2007-01-01 |
| Find all providers in WARREN | ||||
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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.