CHARLES IAN ZADIKOW (NPI# 1780617472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780617472 |
| Entity Type | Individual |
| Full Name | CHARLES IAN ZADIKOW |
| Credential | PSY D |
| Practice Address |
467 Springfield Ave Summit NJ 07901 |
| Practice Telephone | 9082735627 |
| Practice Fax Number | 9082733971 |
| Mailing Telephone | 9082735627 |
| Mailing Fax Number | 9082733971 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1373 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
467 SPRINGFIELD AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053344747 | Sharon Ruth Shrensel | Psychologist | 467 Springfield Ave, Summit, NJ 07901 | 2006-07-08 |
| 1528385101 | John Brian Mahoney | Social Worker | 467 Springfield Ave, Summit, NJ 07901-2622 | 2010-04-22 |
| 1043414469 | Julia F Fox | Social Worker | 467 Springfield Ave, Ste 203-204, Summit, NJ 07901-2622 | 2007-06-11 |
| 1316159866 | Juliane Janis Zenn | Psychologist | 467 Springfield Ave, Summit, NJ 07901-2622 | 2007-05-05 |
| 1730242496 | Cornelius Joseph Mahoney | Psychologist | 467 Springfield Ave, Summit, NJ 07901-2622 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610225 | Lori Tannenbaum | Psychologist | 147 Broad St, Summit, NJ 07901-5915 | 2016-03-07 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| 1376717827 | Michael Steven Keren | Psychologist | Summit Psychological Services, 482 Springfield Avenue, Summit, NJ 07901 | 2008-04-16 |
| 1841474129 | Elvira Anselmi | Psychologist | 151 Summit Avenue, Ste. 1, Summit, NJ 07901-2813 | 2007-12-23 |
| 1659586519 | Isabel Ann Lerman | Psychologist | 450 Springfield Ave Ste 302, Summit, NJ 07901-2611 | 2007-05-14 |
| 1447464318 | Shirley Sugerman Rosenberg | Psychologist | 99 Whittredge Rd, Summit, NJ 07901 | 2007-05-10 |
| 1023132917 | Maruta Friedler | Psychologist | 28 Beechwood Rd, Summit, NJ 07901-2532 | 2007-03-18 |
| 1548321623 | Pamela Elizabeth Hall | Psychologist | 10-12 Kent Place Boulevard, Summit, NJ 07901 | 2006-12-13 |
| 1972602795 | Elizabeth Harten Goldberg | Psychologist | 47 Maple St 302, Summit, NJ 07901 | 2006-09-21 |
| 1053344747 | Sharon Ruth Shrensel | Psychologist | 467 Springfield Ave, Summit, NJ 07901 | 2006-07-08 |
| Find all providers in SUMMIT | ||||
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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.