DR. MONA WELLER BIRK (NPI# 1518032192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518032192 |
| Entity Type | Individual |
| Full Name | DR. MONA WELLER BIRK |
| Other Name | MONA LOIS WELLER |
| Credential | PHD, APN |
| Practice Address |
32 Hopkinson Ct Basking Ridge NJ 07920-2982 |
| Practice Telephone | 9083060774 |
| Mailing Telephone | 9083060774 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 35S100409300 | NJ | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
35S100409300 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
35S100409300 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
35S100409300 | NJ | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
35S100409300 | NJ | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
35S1004093 | NJ | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
35S100409300 | NJ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 44SW001177 | NJ | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 37F100122400 | NJ | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | 26NR04510500 | NJ | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
26NR045105 | NJ | Nursing Service Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 26NC045105 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE ID-CNS-ROSSI | 143411APU | 01 |
| NJ | 0023850 | 05 | |
| NJ | MEDICARE ID-CNS-INHEALTH | 016408DBG | 01 |
| NJ | 4144007 | 05 | |
| NJ | MEDICARE ID-PHD-ROSSI | 076509APU | 01 |
| NJ | MEDICARE ID-PHD-INHEALTH | 076509DBG | 01 |
| Street Address |
32 HOPKINSON CT |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790199537 | Mona W. Birk, Phd, LLC | Clinical Nurse Specialist | 32 Hopkinson Ct, Basking Ridge, NJ 07920-2982 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
| 1790199537 | Mona W. Birk, Phd, LLC | Clinical Nurse Specialist | 32 Hopkinson Ct, Basking Ridge, NJ 07920-2982 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255887402 | June Zafra | Clinical Nurse Specialist | 1704 Whitesville Rd, Toms River, NJ 08755-1168 | 2016-08-28 |
| 1881887248 | Luisa A Raven | Clinical Nurse Specialist | 399 Hudson Terrace, Englewood Cliffs, NJ 07632-2806 | 2007-08-20 |
| 1235278094 | Hazel Ann Dennison | Clinical Nurse Specialist | 20 Magnolia Ave Ste A, Bridgeton, NJ 08302-1759 | 2007-02-06 |
| 1164435335 | Margaret Hopkins Pipchick | Clinical Nurse Specialist | 107 Lincoln Lincoln Ave, Cranford, NJ 07016-2820 | 2006-08-15 |
| 1609863703 | Springpoint At Meadow Lakes, Inc | Clinical Nurse Specialist | 300 Meadow Lks, Hightstown, NJ 08520-4804 | 2005-10-04 |
| 1013556463 | Linda Edwards | Clinical Nurse Specialist | 120 E River Rd, Rumson, NJ 07760-1631 | 2020-01-02 |
| 1366081010 | Anchor Benefits, Inc | Clinical Nurse Specialist | 120 E River Rd, Rumson, NJ 07760-1631 | 2019-12-29 |
| 1295186179 | Janet Kilroy | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2016-06-22 |
| 1487997722 | Sheila Mackle | Clinical Nurse Specialist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2013-04-05 |
| 1144506866 | Regina Marie Hanna | Clinical Nurse Specialist | 400 West Blackwell Street, Saint Clare's Hospital 3rd Floor, Dover, NJ 07801-2525 | 2011-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
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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.