DR. JESSE MINTZ (NPI# 1912124892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912124892 |
| Entity Type | Individual |
| Full Name | DR. JESSE MINTZ |
| Credential | MD |
| Practice Address |
10 Auer Ct Ste D East Brunswick NJ 08816-5848 |
| Practice Telephone | 7322547100 |
| Practice Fax Number | 7322547474 |
| Mailing Telephone | 7322547100 |
| Mailing Fax Number | 7322547474 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
36152 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
10 AUER CT STE D |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578855755 | Saiz, M.d. LLC | Psychologist | 2000 Bergenline Ave, Union City, NJ 07087-3350 | 2011-05-06 |
| 1770721854 | Psychiatric Associates of North Jersey, Inc | Psychologist | 288 Leonard Pl, Paramus, NJ 07652-4517 | 2009-01-28 |
| 1891957379 | Marina Moshkovich | Psychologist | Njsp Third and Cass Street, Trenton, NJ 08625 | 2008-06-26 |
| 1962628818 | Peter S Mueller, M.d.,p.a | Psychologist | 601 Ewing St # A, Suite B-3, Princeton, NJ 08540-2757 | 2007-04-18 |
| 1861876419 | Fairlawn Behavioral Associates LLC | Psychologist | 15-01 Broadway, Suite# 10b, Fair Lawn, NJ 07410-6003 | 2015-07-14 |
| 1073904801 | Avicenna Medical Center | Psychologist | 129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331 | 2015-02-16 |
| 1902297344 | Princeton Psychiatric Centers, Pa | Psychologist | 256 Bunn Dr, Suite 6, Princeton, NJ 08540-2859 | 2015-02-06 |
| 1639514946 | Deborra M. Torres, Msn Pmhnp LLC | Psychologist | 5 N Main St, Suite A, Medford, NJ 08055-2439 | 2013-05-01 |
| 1851677033 | Valeo Behavioral Health, Inc. | Psychologist | 2911 Route 88, Suite E8, Point Pleasant Boro, NJ 08742-2871 | 2011-11-01 |
| 1285953976 | Pinnicle Behavioral Health, LLC | Psychologist | 2911 Route 88, Suite E8, Point Pleasant, NJ 08742-2871 | 2010-05-20 |
| Find all providers with the same taxonomy | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
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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.