Active NPIIndividual provider

Dr. Jessica Kornwasser, PSYD

Psychologist, Clinical in Ridgewood, New Jersey

NPI Number1043458862
Practice location
1 Prospect St, Suite 5-7, Ridgewood, NJ 07450-4404
Fax
201-447-4377
Last updated
February 2, 2009

Jessica Kornwasser is a Psychologist, Clinical based in Ridgewood, NJ. Jessica Kornwasser practices in Ridgewood, NJ and has the professional credentials of PSYD. The NPI Number for Jessica Kornwasser is 1043458862 and holds a License No. 4632 (NJ). The current practice location address for Jessica Kornwasser is 1 Prospect St, Suite 5-7, Ridgewood, NJ 07450-4404 and can be reached out via phone at 201-447-2242 and via fax at 201-447-4377.

Provider Profile Details

NPI Number
1043458862
Provider Name
Jessica Kornwasser
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1 Prospect St, Suite 5-7, Ridgewood, NJ 07450-4404
Phone Number
201-447-2242
Fax Number
201-447-4377
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
February 2, 2009
Last Update Date
February 2, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Prospect St
Suite 5-7
Ridgewood, NJ 07450-4404
Zip
07450-4404
Phone Number
201-447-2242
Fax Number
201-447-4377
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1 Prospect St
Suite 5-7
Ridgewood, NJ 07450-4404
City
Ridgewood
State
NJ
Zip
07450-4404
Phone Number
201-447-2242
Fax Number
201-447-4377

License Information

License Number
4632
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. Jessica Kornwasser, PSYD?

The NPI number of Dr. Jessica Kornwasser, PSYD is 1043458862. It was assigned on February 2, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica Kornwasser, PSYD?

Dr. Jessica Kornwasser, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 4632.

Where does Dr. Jessica Kornwasser, PSYD practice?

The practice location is 1 Prospect St, Suite 5-7, Ridgewood, NJ 07450-4404. The office can be reached at 201-447-2242 (phone) or 201-447-4377 (fax).

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 1043458862 directly on the NPPES registry website.

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