DR. BRENDA SHELLEY-MCINTYRE (NPI# 1699711523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699711523 |
| Entity Type | Individual |
| Full Name | DR. BRENDA SHELLEY-MCINTYRE |
| Credential | PH. D. |
| Practice Address |
121 Cedar Ln Teaneck NJ 07666-4457 |
| Practice Telephone | 2016285030 |
| Practice Fax Number | 2015940144 |
| Mailing Telephone | 2016285030 |
| Mailing Fax Number | 2015940144 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35S100245700 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
121 CEDAR LN |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058775 | Laura H Bloom | Counselor | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2005-07-28 |
| 1760041255 | Mental Health Institute of New Jersey | Counselor | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2019-06-10 |
| 1609380013 | Esther Legacy Counseling Center, LLC | Social Worker | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2017-11-21 |
| 1942740733 | Tami-beth Danzig | Social Worker | 121 Cedar Ln, Suite 2d, Teaneck, NJ 07666-4457 | 2017-02-28 |
| 1518416361 | Diana De Jesus | Social Worker | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2016-09-21 |
| 1346796497 | Greg R Ieraci | Counselor | 121 Cedar Ln, Suite 3-a, Teaneck, NJ 07666-4457 | 2016-08-29 |
| 1801341037 | Andrea Egert | Social Worker | 121 Cedar Ln, Teaneck, NJ 07666-4457 | 2016-08-17 |
| 1336591783 | Eve Yudelson LLC | Social Worker | 121 Cedar Ln, Suite 3a, Teaneck, NJ 07666-4457 | 2016-07-11 |
| 1134581457 | Mental Health Matters, LLC | Counselor | 121 Cedar Ln, Suite 3-a, Teaneck, NJ 07666-4457 | 2016-03-25 |
| 1245698182 | Eve Yudelson | Social Worker | 121 Cedar Ln, Suite 3a, Teaneck, NJ 07666-4457 | 2016-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980371 | Eric Rose | Psychologist | 53 Audubon Rd, Teaneck, NJ 07666-5526 | 2020-10-23 |
| 1861914079 | Esther Reidler | Psychologist | 764 Palisade Ave Ste 1a, Teaneck, NJ 07666-3129 | 2017-07-10 |
| 1972854016 | Michelle Ilene Lupkin | Psychologist | 513 Ogden Ave, Teaneck, NJ 07666-2935 | 2012-09-28 |
| 1730494378 | Annette Berger | Psychologist | 309 Johnson Ave, Teaneck, NJ 07666-3105 | 2010-08-06 |
| 1720228166 | Jennifer Wallach | Psychologist | 705 Cedar Ln Fl 1, Teaneck, NJ 07666-1702 | 2009-02-25 |
| 1174774137 | Ralph Victor Constantino | Psychologist | 815 Elm Ave., Teaneck, NJ 07666 | 2008-10-08 |
| 1861607178 | Carl Hartog | Psychologist | 1100 Margaret Street, Teaneck, NJ 07666 | 2007-05-11 |
| 1396969937 | Sue Grand | Psychologist | 764 Wendel Pl, Teaneck, NJ 07666-2161 | 2007-04-13 |
| 1366569519 | Stanley H Teitelbaum Phd Pa | Psychologist | 1 Grange Court, Teaneck, NJ 07666 | 2007-03-23 |
| 1760506281 | Leonard Jack Meyerson | Psychologist | 949 Phelps Road, Teaneck, NJ 07666 | 2007-03-19 |
| Find all providers in TEANECK | ||||
Please comment or provide details below to improve the information on DR. BRENDA SHELLEY-MCINTYRE.
| 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.