DR. JUSTIN ROBERT MISURELL (NPI# 1558617423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558617423 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN ROBERT MISURELL |
| Credential | PH.D. |
| Practice Address |
185 Washington St Metro Rdtc Newark NJ 07102-3011 |
| Practice Telephone | 9737359370 |
| Mailing Telephone | 9737359370 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
019457-1 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4939 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
185 WASHINGTON ST METRO RDTC |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047746 | Center for Grief Therapy and Education, P.a. | Psychologist | 300 Creek View Rd Ste 101a, Newark, DE 19711-8547 | 2019-11-15 |
| 1467097113 | Creekview Psychological Assessment Center, Pa | Psychologist | 300 Creek View Rd Ste 101b, Newark, DE 19711-8547 | 2019-11-15 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1235654088 | American International Clinical Enterprise | Psychologist | 50 Norfolk St, Newark, NJ 07103-3228 | 2017-08-12 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1467857334 | Kendra Koehler | Psychologist | Christiana Care Health System 4755 Rd, Suite 1070, Newark, DE 19718-0001 | 2014-11-04 |
| 1265834493 | Charlotte Selig | Psychologist | 19 Newland Ct, Newark, DE 19713-2815 | 2014-09-18 |
| 1295025146 | Rosemary Szczechowski | Psychologist | 14 Willow Creek Ln, Newark, DE 19711-3422 | 2011-04-12 |
| 1982902722 | Sally Ramsden Barker | Psychologist | J-25 Omega Drive, Newark, DE 19713-0000 | 2011-03-03 |
| 1932404860 | Psychological and Divorce Mediation Services Inc | Psychologist | 197 Possum Park Rd, Newark, DE 19711 | 2011-01-25 |
| Find all providers in NEWARK | ||||
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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.