DR. JAMES L MASTRICH JR. (NPI# 1649392671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649392671 |
| Entity Type | Individual |
| Full Name | DR. JAMES L MASTRICH JR. |
| Credential | ED.D. |
| Practice Address |
4475 Route 27 Kingston NJ 08528-9601 |
| Practice Telephone | 6099213665 |
| Practice Fax Number | 6093971971 |
| Mailing Telephone | 6099213665 |
| Mailing Fax Number | 6093971971 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
35SI00223800 | NJ | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 35SI00223800 | NJ | Behavioral Health & Social Service Providers |
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
35SI00223800 | NJ | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
35SI00223800 | NJ | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
35SI00223800 | NJ | Behavioral Health & Social Service Providers |
| X | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
35SI002238 | NJ | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
35SI00223800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
4475 ROUTE 27 |
| City | KINGSTON |
| State | NJ |
| Zip Code | 08528-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336209543 | Jessica M Flint | Social Worker | 4475 Route 27, Kingston, NJ 08528-9601 | 2006-12-11 |
| 1558757328 | Julia Little | Social Worker | 4475 Route 27, Kingston, NJ 08528-9601 | 2015-04-08 |
| 1033407911 | Steven Hoffman | Acupuncturist | 4475 Route 27, Kingston, NJ 08528 | 2011-07-13 |
| 1326364662 | Ellyn Geller | Psychologist | 4475 Route 27, Kingston, NJ 08528-9601 | 2010-04-12 |
| 1396868071 | Clifford M Koblin | Counselor | 4475 Route 27, Kingston, NJ 08528-9601 | 2007-04-09 |
| 1750401592 | Carol Schiff Horowitz | Social Worker | 4475 Route 27, Kingston, NJ 08528-9601 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063840809 | Lauren Jaffe | Occupational Therapist | 4437 Route 27, Kingston, NJ 08528 | 2013-10-14 |
| 1508001371 | Bergknoff & Forster Ptrs | Obstetrics & Gynecology | 4575 Rte. 27, Kingston, NJ 08528 | 2008-12-09 |
| 1639392327 | Robert Nicholson Eckardt Jr. | Psychologist | 4446 Rt 27, Kingston, NJ 08528 | 2007-04-11 |
| 1568514024 | Suzanne Lorant | Social Worker | 4475 Rt 27, Kingston, NJ 08528 | 2007-01-17 |
| 1346300753 | Hugh Bergknoff | Obstetrics & Gynecology | 4575 Rte 27, Kingston, NJ 08528 | 2006-12-08 |
| 1073680351 | Nancy Jean Goldin | Psychiatry & Neurology | 4446 Route 27, Kingston, NJ 08528 | 2006-11-29 |
| 1760560171 | Karen Hopkins Brown | Social Worker | 4446 Main Street, Kingston, NJ 08528 | 2006-11-02 |
| 1790879443 | Euro O & P, LLC | Prosthetic/Orthotic Supplier | 4454 Rt. 27, Kingston, NJ 08528 | 2006-10-03 |
| 1982759882 | Yvonne Marie Decarolis | Social Worker | 4446 Route 27, Kingston, NJ 08528 | 2007-01-24 |
| 1518026913 | Susan Forster | Obstetrics & Gynecology | 4575 Rte 27, Kingston, NJ 08528 | 2006-12-08 |
| Find all providers in zip 08528 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267490 | A Prodigal's Path 2 Recovery, Inc. | Counselor | 107 Paint Rock Ferry Rd, Kingston, TN 37763-2921 | 2020-05-22 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1386989838 | Shawna Fanning | Counselor | 161 Summer St Ste 7, Kingston, MA 02364-1275 | 2012-12-10 |
| 1639481633 | Karen Holcomb | Counselor | 400 3rd Ave Ste 308, Kingston, PA 18704-5816 | 2010-07-07 |
| 1992973754 | Courtney Elizabeth Oliver | Counselor | 31912 Little Boston Rd Ne, Port Gamble Sklallam Tribe, Kingston, WA 98346-9700 | 2008-02-14 |
| 1831297670 | James M Sullivan | Counselor | 28 Ocean Hill Dr, Kingston, MA 02334 | 2006-09-20 |
| 1831718501 | Constance Marie Carr | Counselor | 144 Pine St Ste 140, Kingston, NY 12401-4946 | 2020-04-13 |
| 1336603026 | Jason Raydr-scott Gomez | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2019-01-26 |
| 1366927071 | Rebecca Vanduzer | Counselor | 3 Family Practice Dr, Kingston, NY 12401-6449 | 2018-09-27 |
| 1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on DR. JAMES L MASTRICH JR..
| 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.