Active NPIIndividual provider

Amanda R O'Brien Milleisen, PHD

Psychologist, Clinical in Ridgewood, New Jersey

NPI Number1437219011
Practice location
1 Prospect St Ste 4-7, Ridgewood, NJ 07450-4404
Fax
201-447-4377
Last updated
December 27, 2019

Amanda Rose O'Brien Milleisen is a Psychologist, Clinical based in Ridgewood, NJ. Amanda Rose O'Brien Milleisen practices in Ridgewood, NJ and has the professional credentials of PHD. The NPI Number for Amanda Rose O'Brien Milleisen is 1437219011 and holds a License No. 35S100454100 (NJ). The current practice location address for Amanda Rose O'Brien Milleisen is 1 Prospect St Ste 4-7, Ridgewood, NJ 07450-4404 and can be reached out via phone at 201-447-2242 and via fax at 201-447-4377.

Provider Profile Details

NPI Number
1437219011
Provider Name
Amanda Rose O'Brien Milleisen
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1 Prospect St Ste 4-7, Ridgewood, NJ 07450-4404
Phone Number
201-447-2242
Fax Number
201-447-4377
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2006
Last Update Date
December 27, 2019
Certification Date
December 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Prospect St Ste 4-7
Ridgewood, NJ 07450-4404
Zip
07450-4404
Phone Number
201-447-2242
Fax Number
201-447-4377
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
4714 Gettysburg RD
Legal Department
Mechanicsburg, PA 17055-4325
City
Mechanicsburg
State
PA
Zip
17055-4325
Phone Number
717-972-1100
Fax Number
717-975-9981

License Information

License Number
35S100454100
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Amanda R O'Brien Milleisen, PHD?

The NPI number of Amanda R O'Brien Milleisen, PHD is 1437219011. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Amanda R O'Brien Milleisen, PHD?

Amanda R O'Brien Milleisen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100454100.

Where does Amanda R O'Brien Milleisen, PHD practice?

The practice location is 1 Prospect St Ste 4-7, Ridgewood, NJ 07450-4404. The office can be reached at 201-447-2242 (phone) or 201-447-4377 (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 1437219011 directly on the NPPES registry website.

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