Active NPIIndividual providerSole proprietor

Dr. Kenneth Mathisen, PHD

Psychologist, Clinical in Hillsborough, New Jersey

NPI Number1497882815
Practice location
407 Omni Dr, Hillsborough, NJ 08844-4527
Fax
908-359-5356
Last updated
July 8, 2007

Kenneth Mathisen is a Psychologist, Clinical based in Hillsborough, NJ. Kenneth Mathisen practices in Hillsborough, NJ and has the professional credentials of PHD. The NPI Number for Kenneth Mathisen is 1497882815 and holds a License No. 35SI00199600 (NJ). The current practice location address for Kenneth Mathisen is 407 Omni Dr, Hillsborough, NJ 08844-4527 and can be reached out via phone at 908-359-0760 and via fax at 908-359-5356.

Provider Profile Details

NPI Number
1497882815
Provider Name
Kenneth Mathisen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
407 Omni Dr, Hillsborough, NJ 08844-4527
Phone Number
908-359-0760
Fax Number
908-359-5356
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
407 Omni Dr
Hillsborough, NJ 08844-4527
Zip
08844-4527
Phone Number
908-359-0760
Fax Number
908-359-5356
Hillsborough, NJ 08844Get directions →

Provider Business Mailing Address Details

Address
407 Omni Dr
Hillsborough, NJ 08844-4527
City
Hillsborough
State
NJ
Zip
08844-4527
Phone Number
908-359-0760
Fax Number
908-359-5356

License Information

License Number
35SI00199600
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 Dr. Kenneth Mathisen, PHD?

The NPI number of Dr. Kenneth Mathisen, PHD is 1497882815. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth Mathisen, PHD?

Dr. Kenneth Mathisen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00199600.

Where does Dr. Kenneth Mathisen, PHD practice?

The practice location is 407 Omni Dr, Hillsborough, NJ 08844-4527. The office can be reached at 908-359-0760 (phone) or 908-359-5356 (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 1497882815 directly on the NPPES registry website.

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