Active NPIIndividual providerSole proprietor

Dr. Nicole Paolillo, PSYD

Psychologist, Clinical in Medford, New Jersey

NPI Number1033576723
Practice location
2 Persimmon CT, Medford, NJ 08055-3605
Fax
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Last updated
January 26, 2016

Nicole Paolillo is a Psychologist, Clinical based in Medford, NJ. Nicole Paolillo practices in Medford, NJ and has the professional credentials of PSYD. The NPI Number for Nicole Paolillo is 1033576723 and holds a License No. 4873 (NJ). The current practice location address for Nicole Paolillo is 2 Persimmon CT, Medford, NJ 08055-3605 and can be reached out via phone at 609-529-8788.

Provider Profile Details

NPI Number
1033576723
Provider Name
Nicole Paolillo
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
2 Persimmon CT, Medford, NJ 08055-3605
Phone Number
609-529-8788
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2016
Last Update Date
January 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Persimmon CT
Medford, NJ 08055-3605
Zip
08055-3605
Phone Number
609-529-8788
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
2 Persimmon CT
Medford, NJ 08055-3605
City
Medford
State
NJ
Zip
08055-3605
Phone Number
609-529-8788

License Information

License Number
4873
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Nicole Paolillo, PSYD?

The NPI number of Dr. Nicole Paolillo, PSYD is 1033576723. It was assigned on January 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole Paolillo, PSYD?

Dr. Nicole Paolillo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 4873.

Where does Dr. Nicole Paolillo, PSYD practice?

The practice location is 2 Persimmon CT, Medford, NJ 08055-3605. The office can be reached at 609-529-8788 (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 1033576723 directly on the NPPES registry website.

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