Dr. Jesse Whitehead Jr., PSYD
Psychologist, Clinical in Tinton Falls, New Jersey
1225189152- Practice location
- 15 Canterbury Ln, Tinton Falls, NJ 07724-2804
- Phone
- 732-542-5925
- Fax
- 732-542-5841
- Last updated
- July 9, 2007
Jesse Whitehead is a Psychologist, Clinical based in Tinton Falls, NJ. Jesse Whitehead practices in Tinton Falls, NJ and has the professional credentials of PSYD. The NPI Number for Jesse Whitehead is 1225189152 and holds a License No. 35SI00208700 (NJ). The current practice location address for Jesse Whitehead is 15 Canterbury Ln, Tinton Falls, NJ 07724-2804 and can be reached out via phone at 732-542-5925 and via fax at 732-542-5841.
Provider Profile Details
- NPI Number
- 1225189152
- Provider Name
- Jesse Whitehead
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Canterbury Ln, Tinton Falls, NJ 07724-2804
- Phone Number
- 732-542-5925
- Fax Number
- 732-542-5841
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 16, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Canterbury Ln
Tinton Falls, NJ 07724-2804 - City
- Tinton Falls
- State
- New Jersey
- Zip
- 07724-2804
- Phone Number
- 732-542-5925
- Fax Number
- 732-542-5841
Provider Business Mailing Address Details
- Address
- 15 Canterbury Ln
Tinton Falls, NJ 07724-2804 - City
- Tinton Falls
- State
- NJ
- Zip
- 07724-2804
- Phone Number
- 732-542-5925
- Fax Number
- 732-542-5841
License Information
- License Number
- 35SI00208700
- License State
- NJ
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Tinton Falls, NJ
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Frequently Asked Questions
What is the NPI number of Dr. Jesse Whitehead Jr., PSYD?
The NPI number of Dr. Jesse Whitehead Jr., PSYD is 1225189152. It was assigned on January 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jesse Whitehead Jr., PSYD?
Dr. Jesse Whitehead Jr., PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00208700.
Where does Dr. Jesse Whitehead Jr., PSYD practice?
The practice location is 15 Canterbury Ln, Tinton Falls, NJ 07724-2804. The office can be reached at 732-542-5925 (phone) or 732-542-5841 (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 1225189152 directly on the NPPES registry website.