Active NPIIndividual providerSole proprietor

Dr. Karen M Faherty, PHD

Psychologist, Clinical in Red Bank, New Jersey

NPI Number1477616670
Practice location
130 Maple Ave, 5B, Red Bank, NJ 07701-1734
Fax
—
Last updated
July 17, 2007

Karen Michelle Faherty is a Psychologist, Clinical based in Red Bank, NJ. Karen Michelle Faherty practices in Red Bank, NJ and has the professional credentials of PHD. The NPI Number for Karen Michelle Faherty is 1477616670 and holds a License No. 4362 (NJ). The current practice location address for Karen Michelle Faherty is 130 Maple Ave, 5B, Red Bank, NJ 07701-1734 and can be reached out via phone at 732-747-9221.

Provider Profile Details

NPI Number
1477616670
Provider Name
Karen Michelle Faherty
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
130 Maple Ave, 5B, Red Bank, NJ 07701-1734
Phone Number
732-747-9221
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 18, 2006
Last Update Date
July 17, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Maple Ave
5B
Red Bank, NJ 07701-1734
Zip
07701-1734
Phone Number
732-747-9221
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
130 Maple Ave
5B
Red Bank, NJ 07701-1734
City
Red Bank
State
NJ
Zip
07701-1734
Phone Number
732-747-9221

License Information

License Number (1)
4362
License State (1)
NJ
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
0132182
License State (2)
NY
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
0131282
License State (3)
NY
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary
License Number (4)
4362
License State (4)
NJ
Taxonomy (4)
Psychologist, Health Service · 103TH0100X
License Number (5)
4362
License State (5)
NJ
Taxonomy (5)
Psychologist, Rehabilitation · 103TR0400X

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. Karen M Faherty, PHD?

The NPI number of Dr. Karen M Faherty, PHD is 1477616670. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Karen M Faherty, PHD?

Dr. Karen M Faherty, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 4362.

Where does Dr. Karen M Faherty, PHD practice?

The practice location is 130 Maple Ave, 5B, Red Bank, NJ 07701-1734. The office can be reached at 732-747-9221 (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 1477616670 directly on the NPPES registry website.

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