MONA W. BIRK, PHD, LLC


Address: 32 Hopkinson Ct, Basking Ridge, NJ 07920-2982
Phone: 9083060774

MONA W. BIRK, PHD, LLC (NPI# 1790199537) 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) 1790199537
Entity Type Organization
Organization Name MONA W. BIRK, PHD, LLC
Practice Address 32 Hopkinson Ct
Basking Ridge
NJ 07920-2982
Practice Telephone 9083060774
Practice Fax Number 9083060607
Mailing Telephone 9083060774
Mailing Fax Number 9083060607
Enumeration Date 2014-06-19
Last Update Date 2017-07-11
Authorized Official Name MONA BIRK (PRESIDENT)
Authorized Official Telephone 9083073768
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 364S00000X Clinical Nurse Specialist 26NC04510500 NJ Physician Assistants & Advanced Practice Nursing Providers
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 32 HOPKINSON CT
City BASKING RIDGE
State NJ
Zip Code 07920-2982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518032192 Mona Weller Birk Psychologist 32 Hopkinson Ct, Basking Ridge, NJ 07920-2982 2006-11-21

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City BASKING RIDGE
Zip Code 07920

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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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