| Supportive Care Psychology Of Nj Pc | |
|
27 Randolph Rd Howell NJ 07731-8611 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Supportive Care Psychology Of Nj Pc |
|---|---|
| Speciality | Psychologist |
| Location | 27 Randolph Rd, Howell, New Jersey |
| Authorized Official Name and Position | Dov Newmark (CEO) |
| Authorized Official Contact | 7322982753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Psychology Of Nj Pc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care Psychology Of Nj Pc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 |
| NPI Number | 1356840003 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 6002162252 |
|---|---|
| Medicare Enrollment ID | O20180702002104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356840003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert F Dicuio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437237807 PECOS PAC ID: 2365420379 Enrollment ID: I20040707001307 |
| Provider Name | Alnetta L Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407059082 PECOS PAC ID: 4789652066 Enrollment ID: I20040923000941 |
| Provider Name | Mark A Zilberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629133723 PECOS PAC ID: 7012815780 Enrollment ID: I20050418000321 |
| Provider Name | Michelle F Holler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083802755 PECOS PAC ID: 1254421589 Enrollment ID: I20071226000228 |
| Provider Name | Alicia Macintire-cain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891921094 PECOS PAC ID: 1951456771 Enrollment ID: I20090831000569 |
| Provider Name | Jacqueline Mullaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730232950 PECOS PAC ID: 1052436755 Enrollment ID: I20100918000016 |
| Provider Name | Gail M Poverman-kave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700927225 PECOS PAC ID: 5193903060 Enrollment ID: I20110623000318 |
| Provider Name | Elrita Godbold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699900639 PECOS PAC ID: 1658541438 Enrollment ID: I20110906000143 |
| Provider Name | David M Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003039785 PECOS PAC ID: 0143496430 Enrollment ID: I20120109000642 |
| Provider Name | Komal C Saraf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992895353 PECOS PAC ID: 9133263445 Enrollment ID: I20120824000377 |
| Provider Name | Alan S Kagel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700908332 PECOS PAC ID: 7315195906 Enrollment ID: I20121102000167 |
| Provider Name | Robert Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104178235 PECOS PAC ID: 1658523469 Enrollment ID: I20121130000099 |
| Provider Name | Geraldine Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730430281 PECOS PAC ID: 0244482743 Enrollment ID: I20121207000484 |
| Provider Name | Louis F. Castle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720201304 PECOS PAC ID: 8022329481 Enrollment ID: I20150625002209 |
| Provider Name | Lance A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952456279 PECOS PAC ID: 6002124922 Enrollment ID: I20150925002214 |
| Provider Name | Kelly West Murakata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992076640 PECOS PAC ID: 9537463716 Enrollment ID: I20160209000743 |
| Provider Name | Dione Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912044595 PECOS PAC ID: 6800029661 Enrollment ID: I20180424002860 |
| Provider Name | Mirel Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356831044 PECOS PAC ID: 6103181250 Enrollment ID: I20180521001888 |
| Provider Name | Jasmine M Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336560135 PECOS PAC ID: 4486919479 Enrollment ID: I20180522001292 |
| Provider Name | Jonathan H Ausubel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457791949 PECOS PAC ID: 4183843873 Enrollment ID: I20180626000155 |
| Provider Name | Gregory Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265700983 PECOS PAC ID: 4587955430 Enrollment ID: I20180730002063 |
| Provider Name | Madeleine Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971756 PECOS PAC ID: 8628321197 Enrollment ID: I20181030002996 |
| Provider Name | Rachel Selwyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932472412 PECOS PAC ID: 7113186107 Enrollment ID: I20190305000820 |
| Provider Name | Barbara Yaneth Mosquera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740730365 PECOS PAC ID: 3375870470 Enrollment ID: I20190813000947 |
| Provider Name | Johanna R Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710116553 PECOS PAC ID: 6204166283 Enrollment ID: I20190918002634 |
| Provider Name | Schaune Gamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295055713 PECOS PAC ID: 9133554181 Enrollment ID: I20200121001602 |
| Provider Name | Christopher I Fritzsche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437718970 PECOS PAC ID: 4587091681 Enrollment ID: I20200303000134 |
| Provider Name | Joseph Semah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972960318 PECOS PAC ID: 1759711328 Enrollment ID: I20200422001668 |
| Provider Name | Martha M Briceno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922242148 PECOS PAC ID: 4183947286 Enrollment ID: I20200528002254 |
| Provider Name | Regina E Fitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831505114 PECOS PAC ID: 6800219908 Enrollment ID: I20200708001663 |
| Provider Name | Victoria A Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740899566 PECOS PAC ID: 8123446242 Enrollment ID: I20200922000458 |
| Provider Name | Stephanie Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316403116 PECOS PAC ID: 5597090548 Enrollment ID: I20200923001568 |
| Provider Name | Moshe Bleich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639480841 PECOS PAC ID: 8325468630 Enrollment ID: I20201026000683 |
| Provider Name | Gila Lobue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801395603 PECOS PAC ID: 4082029467 Enrollment ID: I20210217000462 |
| Provider Name | Carlene Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821680224 PECOS PAC ID: 9638588817 Enrollment ID: I20210430000258 |
| Provider Name | Gilberto Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114021607 PECOS PAC ID: 1951710961 Enrollment ID: I20210504000994 |
| Provider Name | Sherin Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730581687 PECOS PAC ID: 6800297425 Enrollment ID: I20210701003938 |
| Provider Name | Juan Almanzar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982707899 PECOS PAC ID: 8224284765 Enrollment ID: I20210708003523 |
| Provider Name | Catina Burkett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265864946 PECOS PAC ID: 6608000203 Enrollment ID: I20211229002360 |
| Provider Name | Felecia L Brodie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598063398 PECOS PAC ID: 4486047073 Enrollment ID: I20220202002972 |
| Provider Name | John A Gasataya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750033320 PECOS PAC ID: 0547653628 Enrollment ID: I20220214001191 |
| Provider Name | Stephanie Rakoczy-schetrompf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205166329 PECOS PAC ID: 6002943511 Enrollment ID: I20220427001145 |
| Provider Name | Leonel L Matos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427536317 PECOS PAC ID: 6608251871 Enrollment ID: I20220924000074 |
| Provider Name | Chad Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740690411 PECOS PAC ID: 3870971898 Enrollment ID: I20230130000548 |
| Provider Name | Irena Tsapelas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609464460 PECOS PAC ID: 3274946496 Enrollment ID: I20230309003052 |
| Provider Name | Myralisa L Samedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366090748 PECOS PAC ID: 6709241292 Enrollment ID: I20230505002484 |
| Provider Name | Priscilla J Carmona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306524921 PECOS PAC ID: 4486018561 Enrollment ID: I20230907002150 |
| Provider Name | Dominique Silvestri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093364705 PECOS PAC ID: 5799149506 Enrollment ID: I20230913000408 |
| Provider Name | Kayla Cheatum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003504374 PECOS PAC ID: 2769846484 Enrollment ID: I20230914000728 |
| Provider Name | Henna Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679348254 PECOS PAC ID: 3173972403 Enrollment ID: I20231212004194 |
| Provider Name | Kellie Murawski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598239394 PECOS PAC ID: 6608211859 Enrollment ID: I20240228001147 |
| Provider Name | Jamie Dawn Chrzan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639715378 PECOS PAC ID: 0547605255 Enrollment ID: I20240304001371 |
| Provider Name | Marxlenin Burgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467058479 PECOS PAC ID: 8729427190 Enrollment ID: I20240417004078 |
| Provider Name | Marissa Kathryn Sharp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043948540 PECOS PAC ID: 0244773646 Enrollment ID: I20240613001829 |
| Provider Name | Meghan Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316567241 PECOS PAC ID: 9739623547 Enrollment ID: I20240703003912 |
| Provider Name | Ilona Bakman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386371649 PECOS PAC ID: 5991148363 Enrollment ID: I20240716000095 |
| Provider Name | Inga Y Wismer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356930358 PECOS PAC ID: 0446797872 Enrollment ID: I20240802003720 |
| Provider Name | Colleen J Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689400483 PECOS PAC ID: 5092248278 Enrollment ID: I20241025002681 |
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Supportive Care Psychology Of Ny Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 27 Randolph Rd, Howell, NJ 07731 Phone: 718-298-4375 | |
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