DR. KEVIN RICHARD DOUGHERTY (NPI# 1730200635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730200635 |
| Entity Type | Individual |
| Full Name | DR. KEVIN RICHARD DOUGHERTY |
| Credential | PH.D. |
| Practice Address |
1910 Wabash Ave Linwood NJ 08221-1451 |
| Practice Telephone | 6099269668 |
| Practice Fax Number | 6099264153 |
| Mailing Telephone | 6099269668 |
| Mailing Fax Number | 6099264153 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35SI00327200 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578717211 | Kevin Michael Dougherty | Social Worker | 303 S Broadway Ste 200-135, Denver, CO 80209-1558 | 2008-11-07 |
| 1407997257 | Kevin Dougherty | Chiropractor | 609 Houle Dr, Billings, MT 59102-4862 | 2007-02-12 |
| 1376944389 | Kevin Patrick Dougherty | Physical Therapist | 1991 Fordham Dr, Fayetteville, NC 28304-3773 | 2014-09-09 |
| 1922412279 | Kevin S. Dougherty | Emergency Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2014-06-15 |
| 1114188711 | Kevin Russell Dougherty | Internal Medicine | 85 Seymour St, Suite 719, Hartford, CT 06106-5501 | 2008-06-17 |
| 1598988842 | Kevin Paul Dougherty | Dentist | 475 Shunpike Rd, Chatham, NJ 07928-1528 | 2007-04-11 |
| 1922186998 | Kevin E Dougherty | Internal Medicine | 3100 Blue Ridge Rd, Ste. 300, Raleigh, NC 27612-8036 | 2006-11-01 |
| Street Address |
1910 WABASH AVE |
| City | LINWOOD |
| State | NJ |
| Zip Code | 08221-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962774836 | Dorothy Paglione Dougherty | Speech-Language Pathologist | 1910 Wabash Ave, Linwood, NJ 08221-1451 | 2012-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831049 | Atlantic County Comprehensive Healthcare PC | Specialist | 1201 New Road, Suite 120, Linwood, NJ 08221 | 2019-09-27 |
| 1437625381 | Seawolf Yoga LLC | Counselor | 222 New Rd. Suite 405 Central Park East, Linwood, NJ 08221 | 2018-10-18 |
| 1720451263 | Vitality Nutrition and Wellness Center LLC | Dietitian, Registered | 2000 Shore Road, Suite 104, Linwood, NJ 08221 | 2015-11-05 |
| 1679968028 | Maria Roca Camille Jarillo | Physical Medicine & Rehabilitation | 201 New Road, Linwood, NJ 08221 | 2015-04-02 |
| 1154754836 | Heidi Schnorr-leavy, LLC | Counselor | 1201 New Rd. S-130, Linwood, NJ 08221 | 2013-08-16 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1710211388 | Peter E. Wiesel | Dentist | 222 New Road, Suite #401, Linwood, NJ 08221 | 2009-09-29 |
| 1093945693 | Judy Lozada Cabinian | Physical Therapist | New Road and Central Avenue, Linwood, NJ 08221 | 2009-07-17 |
| 1992969687 | Ila A. Keiner LLC | Social Worker | Route 9 and Central Ave, Central Square Unit 61a, Linwood, NJ 08221 | 2008-07-11 |
| 1578726782 | Karla Moody | Licensed Practical Nurse | 201 Central Avenue, Linwood Care Center, Linwood, NJ 08221 | 2008-07-08 |
| Find all providers in zip 08221 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560786 | Janice A. Colton | Psychologist | 2021 New Rd, Linwood, NJ 08221-1045 | 2016-03-08 |
| 1396165916 | Danielle Chesney | Psychologist | 2106 New Rd Ste C1, Linwood, NJ 08221-1049 | 2014-04-22 |
| 1124376827 | Robert Chorney Psyd At New Roads LLC | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2012-08-28 |
| 1811298649 | Kenneth A. Leight Phd New Roads LLC | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2010-11-10 |
| 1467607465 | Cloey Ann Talotta | Psychologist | 2106 New Rd, Suite F3, Linwood, NJ 08221-1046 | 2008-11-18 |
| 1285759472 | Rosa Cortes Schwartz Mental Health Associates | Psychologist | 2106 New Road, Suite F3, Linwood, NJ 08221 | 2007-03-20 |
| 1992879290 | Richard Cohen Associates | Psychologist | 2021 New Road, Suite 5, Linwood, NJ 08221 | 2006-11-20 |
| 1437223732 | Margo Ann Ferrin | Psychologist | 2021 New Road, Suite 5, Linwood, NJ 08221 | 2006-11-20 |
| 1588738876 | Richard Cohen | Psychologist | 2021 New Road, Suite 5, Linwood, NJ 08221 | 2006-11-20 |
| 1063512028 | Rosa M Cortes | Psychologist | 2106 New Road, Suite F3, Linwood, NJ 08221 | 2006-09-22 |
| Find all providers in LINWOOD | ||||
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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.