Dr. Ilana Tannenbaum, PHD
Psychologist, Counseling in Montclair, New Jersey
1003131269- Practice location
- 31 S Fullerton Ave, 2ND Floor, Montclair, NJ 07042-3455
- Phone
- 973-744-4494
- Fax
- —
- Last updated
- March 31, 2010
Ilana Tannenbaum is a Psychologist, Counseling based in Montclair, NJ. Ilana Tannenbaum practices in Montclair, NJ and has the professional credentials of PHD. The NPI Number for Ilana Tannenbaum is 1003131269 and holds a License No. 35SI00470500 (NJ). The current practice location address for Ilana Tannenbaum is 31 S Fullerton Ave, 2ND Floor, Montclair, NJ 07042-3455 and can be reached out via phone at 973-744-4494.
Provider Profile Details
- NPI Number
- 1003131269
- Provider Name
- Ilana Tannenbaum
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 S Fullerton Ave, 2ND Floor, Montclair, NJ 07042-3455
- Phone Number
- 973-744-4494
- Primary Taxonomy
- Psychologist, Counseling · 103TC1900X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2010
- Last Update Date
- March 31, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 S Fullerton Ave
2ND Floor
Montclair, NJ 07042-3455 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3455
- Phone Number
- 973-744-4494
Provider Business Mailing Address Details
- Address
- 296 Berkeley Ave
Bloomfield, NJ 07003-4946 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-4946
License Information
- License Number (1)
- 35SI00470500
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Cognitive & Behavioral · 103TB0200X
- License Number (2)
- 35SI00470500
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Counseling · 103TC1900X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ilana Tannenbaum, PHD?
The NPI number of Dr. Ilana Tannenbaum, PHD is 1003131269. It was assigned on March 31, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Ilana Tannenbaum, PHD?
Dr. Ilana Tannenbaum, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in NJ under license number 35SI00470500.
Where does Dr. Ilana Tannenbaum, PHD practice?
The practice location is 31 S Fullerton Ave, 2ND Floor, Montclair, NJ 07042-3455. The office can be reached at 973-744-4494 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003131269 directly on the NPPES registry website.