DR. CLEDICIANNE DORVIL (NPI# 1952732026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952732026 |
| Entity Type | Individual |
| Full Name | DR. CLEDICIANNE DORVIL |
| Other Name | DR. CLEDICIANNE DORVIL |
| Practice Address |
904 Riverside Ave Trenton NJ 08618-5318 |
| Mailing Address |
120 Robertson Ave Morrisville PA 19067-2447 |
| Practice Telephone | 6093931166 |
| Mailing Telephone | 6095320005 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2014-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
35SI00522100 | NJ | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS017367 | PA | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
692206 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
904 RIVERSIDE AVE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08618-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619214772 | Genesis Psychotherapy, Assessments, Counseling, & Educational Services | Counselor | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2013-01-09 |
| 1467850842 | Charyl Yarbrough | Specialist | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2014-12-16 |
| 1922439652 | Taroya E Sargent | Health Educator | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457993 | Capitals Pizzeria | Meals | 211 Reverend Howard S. Woodson Way, Trenton, NJ 08618 | 2020-01-30 |
| 1760049738 | Stem Civics, Inc. | Local Education Agency (LEA) | 1555 Pennington Road, Ewing, NJ 08618 | 2019-05-24 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1447665500 | Avinique Marshall | Community Health Worker | 23 Van Duyn Dr, Ewing, NJ 08618 | 2014-06-27 |
| 1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
| 1083042782 | Odelind King Lewis | Social Worker | 321 North Warren Street, Trenton, NJ 08618 | 2013-10-16 |
| 1346595089 | Essential Foot Care PC | Clinic/Center | 1440 Pennington Road, Ewing, NJ 08618 | 2012-07-18 |
| 1245543453 | Beverly M Gibson | Counselor | 68 Dunmore Avneue, Ewing, NJ 08618 | 2010-07-16 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| Find all providers in zip 08618 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
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| 1326675034 | Jennifer Yedlin | Psychologist | 540 Queen Anne Rd, Teaneck, NJ 07666-3329 | 2020-03-24 |
| 1558835876 | Jacqueline D Freedman | Psychologist | 748 Morris Tpke Ste 207, Short Hills, NJ 07078-2617 | 2019-01-21 |
| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.