DR. SHARON F. BOYD-JACKSON


Address: 2810 Morris Ave, Suite # 308, Union, NJ 07083-4850
Phone: 9086887979

DR. SHARON F. BOYD-JACKSON (NPI# 1730245564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730245564
Entity Type Individual
Full Name DR. SHARON F. BOYD-JACKSON
Credential PH.D.
Practice Address 2810 Morris Ave
Suite # 308
Union
NJ 07083-4850
Practice Telephone 9086887979
Practice Fax Number 9086875414
Mailing Telephone 9086887979
Mailing Fax Number 9086875414
Enumeration Date 2006-12-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2843 NJ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ HORIZON BLUE CROSS BLUE S 2986 01

Office Location

Street Address 2810 MORRIS AVE
SUITE # 308
City UNION
State NJ
Zip Code 07083-4850

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NPI Name Taxonomy Address Enumeration
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1295850402 Evelyn Quintana Social Worker 2810 Morris Ave, Suite 306, Union, NJ 07083-4850 2007-03-20

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659369254 Karen Sciaraffa Psychologist 1021 Stuyvesant Ave, Union, NJ 07083-6035 2005-10-09
1053851725 Amy Hansen Psychologist 1585 Jonesville Hwy, Union, SC 29379-9790 2017-03-01
1760765408 Center for Anxiety Relief LLC Psychologist 2204 Morris Ave, Suite 208, Union, NJ 07083-5918 2011-09-20
1225280894 John William Kramer IIi Psychologist 2143 Morris Ave, Suite 3, Union, NJ 07083-6036 2008-10-15
1245481324 Susan Anne Cook Psychologist 2143 Morris Ave, Suite 3, Union, NJ 07083-6036 2008-10-07
1518153063 Karen Sciaraffa Psychologist 1021 Stuyvesant Ave, Union, NJ 07083-6035 2007-09-19
1609089903 Guillermo H Parra Psychologist 2424 Morris Ave, Suite 103, Union, NJ 07083-5731 2007-05-07

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Competitor

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City UNION
Zip Code 07083

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Dataset Information

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.

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