STEFAN C. DOMBROWSKI, PH.D. & ASSOCIATES, LLC (NPI# 1790282192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790282192 |
Entity Type | Organization |
Organization Name | STEFAN C. DOMBROWSKI, PH.D. & ASSOCIATES, LLC |
Other Organization Name | CHILDREN'S CENTER FOR PSYCHOLOGICAL ASSESSMENT & DEVELOPMENT |
Practice Address |
4 Eves Dr Marlton NJ 08053-3195 |
Mailing Address |
6 Roberts Dr Cherry Hill NJ 08003-1016 |
Practice Telephone | 8567456291 |
Practice Fax Number | 8564247553 |
Mailing Telephone | 8567456291 |
Mailing Fax Number | 8564247553 |
Enumeration Date | 2018-04-11 |
Last Update Date | 2018-04-11 |
Authorized Official Name | DR. STEFAN CARL DOMBROWSKI (CLINICAL DIRECTOR) |
Authorized Official Telephone | 8567456291 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35SI00420600 | NJ | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Children's Center for Psychological Assessment & Development | Doing Business As Name - Organization |
Street Address |
4 EVES DR |
City | MARLTON |
State | NJ |
Zip Code | 08053-3195 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962909226 | Stefan Carl Dombrowski | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
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Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962909226 | Stefan Carl Dombrowski | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-12 |
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1558835876 | Jacqueline D Freedman | Psychologist | 748 Morris Tpke Ste 207, Short Hills, NJ 07078-2617 | 2019-01-21 |
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1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
1801140256 | Sheryl Lori Pierre | Psychologist | 128 Bortons Landing Road, Suite 2, Moorestown, NJ 08057 | 2012-11-07 |
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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.