Active NPIIndividual providerSole proprietor

Dr. Joan E Mysiak, PHD

Psychologist in Pennington, New Jersey

NPI Number1124364591
Practice location
306 Hale Street, Pennington, NJ 08534-2705
Fax
—
Last updated
December 12, 2012

Joan Ellis Mysiak is a Psychologist based in Pennington, NJ. Joan Ellis Mysiak practices in Pennington, NJ and has the professional credentials of PHD. The NPI Number for Joan Ellis Mysiak is 1124364591 and holds a License No. 35SI00254700 (NJ). The current practice location address for Joan Ellis Mysiak is 306 Hale Street, Pennington, NJ 08534-2705 and can be reached out via phone at 609-818-9230.

Provider Profile Details

NPI Number
1124364591
Provider Name
Joan Ellis Mysiak
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
306 Hale Street, Pennington, NJ 08534-2705
Phone Number
609-818-9230
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2012
Last Update Date
December 12, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
306 Hale Street
Pennington, NJ 08534-2705
Zip
08534-2705
Phone Number
609-818-9230
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
306 Hale Street
Pennington, NJ 08534
City
Pennington
State
NJ
Zip
08534
Phone Number
609-818-9230

License Information

License Number
35SI00254700
License State
NJ
Taxonomy
Psychologist · 103T00000X · 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. Joan E Mysiak, PHD?

The NPI number of Dr. Joan E Mysiak, PHD is 1124364591. It was assigned on December 12, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Joan E Mysiak, PHD?

Dr. Joan E Mysiak, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00254700.

Where does Dr. Joan E Mysiak, PHD practice?

The practice location is 306 Hale Street, Pennington, NJ 08534-2705. The office can be reached at 609-818-9230 (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 1124364591 directly on the NPPES registry website.

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