Active NPIIndividual providerSole proprietor

Dr. Gerald D Mingin Jr., PHD & PSYD

Social Worker, School in Southampton, New Jersey

NPI Number1508348863
Practice location
135 Eayrestown RD. Suite A, Southampton, NJ 08055
Fax
—
Last updated
September 4, 2018

Gerald D Mingin is a Social Worker, School based in Southampton, NJ. Gerald D Mingin practices in Southampton, NJ and has the professional credentials of PHD & PSYD. The NPI Number for Gerald D Mingin is 1508348863 and holds a License No. TR18313700243054 (NJ). The current practice location address for Gerald D Mingin is 135 Eayrestown RD. Suite A, Southampton, NJ 08055 and can be reached out via phone at 609-261-1022.

Provider Profile Details

NPI Number
1508348863
Provider Name
Gerald D Mingin
Credential
PHD & PSYD
Provider Entity Type
Individual
Gender
Male
Address
135 Eayrestown RD. Suite A, Southampton, NJ 08055
Phone Number
609-261-1022
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2018
Last Update Date
September 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Eayrestown RD. Suite A
Southampton, NJ 08055
Zip
08055
Phone Number
609-261-1022
Southampton, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
135 Eayrestown RD. Suite A
Southampton, NJ 08055
City
Southampton
State
NJ
Zip
08055
Phone Number
609-261-1022

License Information

License State (1)
NJ
Taxonomy (1)
Psychologist, Cognitive & Behavioral · 103TB0200X
License State (2)
NJ
Taxonomy (2)
Psychologist, Exercise & Sports · 103TE1100X
License Number (3)
TR18313700243054
License State (3)
NJ
Taxonomy (3)
Social Worker, School · 1041S0200X · 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. Gerald D Mingin Jr., PHD & PSYD?

The NPI number of Dr. Gerald D Mingin Jr., PHD & PSYD is 1508348863. It was assigned on September 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Gerald D Mingin Jr., PHD & PSYD?

Dr. Gerald D Mingin Jr., PHD & PSYD is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in NJ under license number TR18313700243054.

Where does Dr. Gerald D Mingin Jr., PHD & PSYD practice?

The practice location is 135 Eayrestown RD. Suite A, Southampton, NJ 08055. The office can be reached at 609-261-1022 (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 1508348863 directly on the NPPES registry website.

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