DR. MARK J. PESNER (NPI# 1861555336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861555336 |
| Entity Type | Individual |
| Full Name | DR. MARK J. PESNER |
| Credential | PH.D. |
| Practice Address |
271 Us Highway 46 Suite G101 Fairfield NJ 07004-2440 |
| Practice Telephone | 9732769040 |
| Practice Fax Number | 9732769062 |
| Mailing Telephone | 9732769040 |
| Mailing Fax Number | 9732769062 |
| Enumeration Date | 2006-12-18 |
| 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 | 2562 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
271 US HIGHWAY 46 SUITE G101 |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477981959 | Mager & Gougelman, Inc | Prosthetic/Orthotic Supplier | 271 Us Highway 46, Suite G110, Fairfield, NJ 07004-2440 | 2013-10-22 |
| 1689879447 | Fairfield Family Dental Care | Clinic/Center | 271 Us Highway 46, Suite A101, Fairfield, NJ 07004-2440 | 2007-06-20 |
| 1780893651 | Fairfield Dental Center | Dentist | 271 Us Highway 46, Suite D-108, Fairfield, NJ 07004-2440 | 2007-05-21 |
| 1003967381 | Kevin N Kopack | Physical Therapist | 271 Us Highway 46, Suite G106 - Fairfield Commons, Fairfield, NJ 07004-2440 | 2007-01-15 |
| 1265583546 | Justin S. Solotoff | Physical Therapist | 271 Us Highway 46, Suite G 106, Fairfield, NJ 07004-2440 | 2007-01-15 |
| 1003966771 | Drs. Latempa & Toumanios PC | Dentist | 271 Us Highway 46, Suite C105, Fairfield, NJ 07004-2440 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| 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 |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1023579265 | Jennifer Rachel Pleasure | Psychologist | 1492 Unquowa Rd, Fairfield, CT 06824-4950 | 2019-03-29 |
| 1306296454 | Neeru Madan | Psychologist | 1125 Missouri St Ste 205, Fairfield, CA 94533-6000 | 2016-06-20 |
| 1063882025 | Matthew Love | Psychologist | 140 Sherman St Fl 5, Fairfield, CT 06824-5849 | 2015-10-03 |
| 1609266014 | Janet Walker | Psychologist | 35 S Benson Cmns, Fairfield, CT 06824-6239 | 2015-01-23 |
| 1013305788 | Cheryl Lykins | Psychologist | 255 Donald Dr, Fairfield, OH 45014-3006 | 2015-01-05 |
| 1922496694 | Molly Mcneil | Psychologist | 5058 Dixie Hwy, Fairfield, OH 45014-2934 | 2015-01-05 |
| 1255766861 | Grace Kiriakos | Psychologist | 604 Empire St Fl 1, Fairfield, CA 94533-5527 | 2013-09-13 |
| 1528366689 | Michael J. Weiss | Psychologist | 333 Bennett St, Fairfield, CT 06825-1375 | 2011-03-14 |
| 1336367010 | Momentum for Mental Health - A.s.s.i.s.t. Solano Outpatient | Psychologist | 1935 Kidder Ave, Fairfield, CA 94533-3919 | 2007-04-20 |
| Find all providers in FAIRFIELD | ||||
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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.