Active NPIIndividual provider

Dr. Jennifer Ra, PSYD

Psychologist in Caldwell, New Jersey

NPI Number1144613654
Practice location
307 Bloomfield Ave Ste 301, Caldwell, NJ 07006-5105
Fax
—
Last updated
August 16, 2020

Jennifer Ra is a Psychologist based in Caldwell, NJ. Jennifer Ra practices in Caldwell, NJ and has the professional credentials of PSYD. The NPI Number for Jennifer Ra is 1144613654 and holds a License No. 35SI00453400 (NJ). The current practice location address for Jennifer Ra is 307 Bloomfield Ave Ste 301, Caldwell, NJ 07006-5105 and can be reached out via phone at 973-524-6501.

Provider Profile Details

NPI Number
1144613654
Provider Name
Jennifer Ra
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
307 Bloomfield Ave Ste 301, Caldwell, NJ 07006-5105
Phone Number
973-524-6501
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2015
Last Update Date
August 16, 2020
Certification Date
August 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
307 Bloomfield Ave Ste 301
Caldwell, NJ 07006-5105
Zip
07006-5105
Phone Number
973-524-6501
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
307 Bloomfield Ave Ste 301
Caldwell, NJ 07006-5105
City
Caldwell
State
NJ
Zip
07006-5105
Phone Number
973-524-6501

License Information

License Number
35SI00453400
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. Jennifer Ra, PSYD?

The NPI number of Dr. Jennifer Ra, PSYD is 1144613654. It was assigned on March 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Ra, PSYD?

Dr. Jennifer Ra, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00453400.

Where does Dr. Jennifer Ra, PSYD practice?

The practice location is 307 Bloomfield Ave Ste 301, Caldwell, NJ 07006-5105. The office can be reached at 973-524-6501 (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 1144613654 directly on the NPPES registry website.

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