PHILIP BOMZER (NPI# 1932337581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932337581 |
| Entity Type | Individual |
| Full Name | PHILIP BOMZER |
| Credential | PSY.D. |
| Practice Address |
5-02 Bryant Pl Fair Lawn NJ 07410-2175 |
| Practice Telephone | 9173743074 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00543800 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
020582 | NY | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
020582 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 65 Harristown Rd Ste 310, Glen Rock, NJ 074523315 | 7329822888 | 8478595885 |
| Street Address |
5-02 BRYANT PL |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508333964 | Yedida Bomzer | Psychologist | 5-02 Bryant Pl, Fair Lawn, NJ 07410-2175 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407393994 | Jonathan Lamm | Psychologist | 3-07 Berdan Ave, Fair Lawn, NJ 07410-1167 | 2017-01-23 |
| 1174644561 | The Accredited Center for Psychological Counseling | Psychologist | 5-11 Saddle River Rd, Suite 2a, Fair Lawn, NJ 07410-5635 | 2007-04-03 |
| 1508333964 | Yedida Bomzer | Psychologist | 5-02 Bryant Pl, Fair Lawn, NJ 07410-2175 | 2018-10-24 |
| 1881135556 | S. Jakob Mahler Psychology Group | Psychologist | 5-11 Saddle River Rd, 2b, Fair Lawn, NJ 07410-5635 | 2017-03-15 |
| 1275070914 | S. Jakob Mahler Psychology Group LLC | Psychologist | 3-07 Linden Ln, Fair Lawn, NJ 07410-4826 | 2017-01-19 |
| 1871968446 | Victoria Helen Wacha | Psychologist | 14-25 Plaza Rd, Suite 2-7n, Fair Lawn, NJ 07410-3546 | 2015-12-08 |
| 1689944647 | Thomas Charles Grace | Psychologist | 14-25 Plaza Rd, Suite N-2-4, Fair Lawn, NJ 07410-3546 | 2012-01-09 |
| 1528258175 | Senya Jakob Mahler | Psychologist | 5-11 Saddle River Rd, Suite 2b, Fair Lawn, NJ 07410-5635 | 2007-07-30 |
| 1528190048 | Loretto A Brickfield | Psychologist | 18-01 Pollitt Dr, Fair Lawn, NJ 07410-2813 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980371 | Eric Rose | Psychologist | 53 Audubon Rd, Teaneck, NJ 07666-5526 | 2020-10-23 |
| 1629682687 | Cbt Center of Central Nj | Psychologist | 16 Pearl Street, Suite 101 Cbt Center of Central Nj LLC, Metuchen, NJ 08840 | 2020-09-06 |
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1659980944 | Lisa Spatafore | Psychologist | 2083 Lawrence Rd, Lawrenceville, NJ 08648-3001 | 2020-07-23 |
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
| 1659996692 | Thrive Psychology Center, LLC | Psychologist | 699 Cross St Ste 110, Lakewood, NJ 08701-4681 | 2020-06-16 |
| 1871117499 | Haven Psychotherapy LLC | Psychologist | 25 Terrell Rd, Lambertville, NJ 08530-3428 | 2020-05-29 |
| 1447873781 | Elements Psychological Services, LLC | Psychologist | 36 Cottage Ln, Upper Saddle River, NJ 07458-1306 | 2020-05-21 |
| 1285255398 | Amanda Addolorato Macdonald | Psychologist | 12 2nd St, Hackensack, NJ 07601-2009 | 2020-04-29 |
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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.