DR. SUSAN GAIL HERSCHMAN (NPI# 1659494920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659494920 |
| Entity Type | Individual |
| Full Name | DR. SUSAN GAIL HERSCHMAN |
| Credential | PSY.D. |
| Practice Address |
2 W Hanover Ave 203 Randolph NJ 07869-4222 |
| Practice Telephone | 9739838321 |
| Practice Fax Number | 9739832680 |
| Mailing Telephone | 9739838321 |
| Mailing Fax Number | 9739832680 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
SI 03190 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
2 W HANOVER AVE 203 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437173176 | Eric Scott Herschman | Psychologist | 2 W Hanover Ave, Suite 203, Randolph, NJ 07869-4222 | 2006-07-26 |
| 1689831471 | Philip Norman Horowitz | Psychologist | 2 W Hanover Ave, Suite 203, Randolph, NJ 07869-4222 | 2008-05-20 |
| 1720116296 | Edward Jay Smith | Dentist | 2 W Hanover Ave, Suite 201, Randolph, NJ 07869-4222 | 2007-02-28 |
| 1467509869 | Huber & Horowitz | Psychologist | 2 W Hanover Ave, Suite 203, Randolph, NJ 07869-4222 | 2007-01-05 |
| 1922161660 | Joanne A Rosenblum | Social Worker | 2 W Hanover Ave, Suite206, Randolph, NJ 07869-4222 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044774 | Safe Space Therapeutic Services, Inc. | Counselor | 10 Mazzeo Dr Ste 206, Randolph, MA 02368-3433 | 2020-02-10 |
| 1336770155 | Crystal Casel | Counselor | 356 Main St E, Randolph, NY 14772-9696 | 2020-01-30 |
| 1386112126 | Bianca S Mathe | Counselor | 55 Birch Dr, Randolph, MA 02368-3406 | 2018-11-09 |
| 1184122566 | Lois T Awah | Counselor | 10 Mill Hill St, Randolph, MA 02368-5082 | 2018-01-31 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1114462116 | Paula Marie Weaver | Counselor | 25 Norfolk Rd, Randolph, MA 02368-4714 | 2016-12-29 |
| 1902259088 | Grace Gichuhi | Counselor | 286 Canton St, Randolph, MA 02368-1506 | 2016-07-13 |
| 1598117756 | Sharon George | Counselor | 9 Linden Park Dr, Randolph, MA 02368-4703 | 2016-07-12 |
| 1235597576 | Emline Clairvil | Counselor | 278 Canton St, Randolph, MA 02368-1506 | 2016-02-01 |
| Find all providers in RANDOLPH | ||||
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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.