MISS TRACEY LYNNE WALDMAN (NPI# 1588712731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588712731 |
Entity Type | Individual |
Full Name | MISS TRACEY LYNNE WALDMAN |
Credential | PH.D. |
Practice Address |
41 Furman Dr Emerson NJ 07630-1007 |
Practice Telephone | 2012251955 |
Mailing Telephone | 2012251955 |
Enumeration Date | 2007-01-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
013150-1 | NY | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00358700 | NJ | Behavioral Health & Social Service Providers |
Street Address |
41 FURMAN DR |
City | EMERSON |
State | NJ |
Zip Code | 07630-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
Find all providers in zip 07630 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
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1871117499 | Haven Psychotherapy LLC | Psychologist | 25 Terrell Rd, Lambertville, NJ 08530-3428 | 2020-05-29 |
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1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
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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.