Dr. Blake E Kirschner, PSYD
Psychologist, Clinical in Montclair, New Jersey
1073821351- Practice location
- 299 Orange RD, Floor 1, Montclair, NJ 07042-4420
- Phone
- 503-933-9837
- Fax
- —
- Last updated
- December 19, 2015
Blake Evan Kirschner is a Psychologist, Clinical based in Montclair, NJ. Blake Evan Kirschner practices in Montclair, NJ and has the professional credentials of PSYD. The NPI Number for Blake Evan Kirschner is 1073821351 and holds a License No. 35SI00554300 (NJ). The current practice location address for Blake Evan Kirschner is 299 Orange RD, Floor 1, Montclair, NJ 07042-4420 and can be reached out via phone at 503-933-9837.
Provider Profile Details
- NPI Number
- 1073821351
- Provider Name
- Blake Evan Kirschner
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 299 Orange RD, Floor 1, Montclair, NJ 07042-4420
- Phone Number
- 503-933-9837
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 20, 2010
- Last Update Date
- December 19, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 299 Orange RD
Floor 1
Montclair, NJ 07042-4420 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4420
- Phone Number
- 503-933-9837
Provider Business Mailing Address Details
- Address
- 299 Orange RD
Floor 1
Montclair, NJ 07042-4420 - City
- Montclair
- State
- NJ
- Zip
- 07042-4420
- Phone Number
- 503-933-9837
License Information
- License Number (1)
- 35SI00554300
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- 35SI00554300
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
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. Blake E Kirschner, PSYD?
The NPI number of Dr. Blake E Kirschner, PSYD is 1073821351. It was assigned on September 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Blake E Kirschner, PSYD?
Dr. Blake E Kirschner, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00554300.
Where does Dr. Blake E Kirschner, PSYD practice?
The practice location is 299 Orange RD, Floor 1, Montclair, NJ 07042-4420. The office can be reached at 503-933-9837 (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 1073821351 directly on the NPPES registry website.