Dr. Vanessa Gourdine, APN-C, PSYD
Nurse Practitioner, Psych/Mental Health in Hackensack, New Jersey
1205936093- Practice location
- 83 Summit Ave, Hackensack, NJ 07601-1262
- Phone
- 201-488-6678
- Fax
- 201-342-4346
- Last updated
- September 26, 2022
Vanessa Gourdine is a Nurse Practitioner, Psych/Mental Health based in Hackensack, NJ. Vanessa Gourdine practices in Hackensack, NJ and has the professional credentials of APN-C, PSYD. The NPI Number for Vanessa Gourdine is 1205936093 and holds a License No. 35SIO00563500 (NJ). The current practice location address for Vanessa Gourdine is 83 Summit Ave, Hackensack, NJ 07601-1262 and can be reached out via phone at 201-488-6678 and via fax at 201-342-4346.
Provider Profile Details
- NPI Number
- 1205936093
- Provider Name
- Vanessa Gourdine
- Credential
- APN-C, PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 83 Summit Ave, Hackensack, NJ 07601-1262
- Phone Number
- 201-488-6678
- Fax Number
- 201-342-4346
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 22, 2006
- Last Update Date
- September 26, 2022
- Certification Date
- September 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 83 Summit Ave
Hackensack, NJ 07601-1262 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1262
- Phone Number
- 201-488-6678
- Fax Number
- 201-342-4346
Provider Business Mailing Address Details
- Address
- Po Box 746
Franklin Lakes, NJ 07417-0746 - City
- Franklin Lakes
- State
- NJ
- Zip
- 07417-0746
- Phone Number
- 201-488-6678
- Fax Number
- 201-342-4346
License Information
- License Number (1)
- 35SIO00563500
- License State (1)
- NJ
- Taxonomy (1)
- Psychoanalyst · 102L00000X
- License Number (2)
- 35SI00263500
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist · 103T00000X
- License Number (3)
- 35SI00263500
- License State (3)
- NJ
- Taxonomy (3)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- License Number (4)
- 35SI00263500
- License State (4)
- NJ
- Taxonomy (4)
- Psychologist, Clinical · 103TC0700X
- License Number (5)
- 35SI00263500
- License State (5)
- NJ
- Taxonomy (5)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (6)
- 35SI00263500
- License State (6)
- NJ
- Taxonomy (6)
- Psychologist, Health Service · 103TH0100X
- License Number (7)
- 26NJ00080100
- License State (7)
- NJ
- Taxonomy (7)
- Nurse Practitioner, Family · 363LF0000X
- License Number (8)
- 26NJ00080100
- License State (8)
- NJ
- Taxonomy (8)
- Clinical Nurse Specialist, Psych/Mental Health, Child & Family · 364SP0810X
- License Number (9)
- 26NJ00080100
- License State (9)
- NJ
- Taxonomy (9)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
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. Vanessa Gourdine, APN-C, PSYD?
The NPI number of Dr. Vanessa Gourdine, APN-C, PSYD is 1205936093. It was assigned on September 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Vanessa Gourdine, APN-C, PSYD?
Dr. Vanessa Gourdine, APN-C, PSYD is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 35SIO00563500.
Where does Dr. Vanessa Gourdine, APN-C, PSYD practice?
The practice location is 83 Summit Ave, Hackensack, NJ 07601-1262. The office can be reached at 201-488-6678 (phone) or 201-342-4346 (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 1205936093 directly on the NPPES registry website.