Active NPIIndividual provider

Dr. Justin R Misurell, PHD

Psychologist, Clinical in Newark, New Jersey

NPI Number1558617423
Practice location
185 Washington St, Metro Rdtc, Newark, NJ 07102-3011
Fax
—
Last updated
July 30, 2012

Justin Robert Misurell is a Psychologist, Clinical based in Newark, NJ. Justin Robert Misurell practices in Newark, NJ and has the professional credentials of PHD. The NPI Number for Justin Robert Misurell is 1558617423 and holds a License No. 4939 (NJ). The current practice location address for Justin Robert Misurell is 185 Washington St, Metro Rdtc, Newark, NJ 07102-3011 and can be reached out via phone at 973-735-9370.

Provider Profile Details

NPI Number
1558617423
Provider Name
Justin Robert Misurell
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
185 Washington St, Metro Rdtc, Newark, NJ 07102-3011
Phone Number
973-735-9370
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
July 30, 2012
Last Update Date
July 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Washington St
Metro Rdtc
Newark, NJ 07102-3011
City
Newark
Zip
07102-3011
Phone Number
973-735-9370
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
185 Washington St
Metro Rdtc
Newark, NJ 07102-3011
City
Newark
State
NJ
Zip
07102-3011
Phone Number
973-735-9370

License Information

License Number (1)
4939
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
019457-1
License State (2)
NY
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

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. Justin R Misurell, PHD?

The NPI number of Dr. Justin R Misurell, PHD is 1558617423. It was assigned on July 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Justin R Misurell, PHD?

Dr. Justin R Misurell, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 4939.

Where does Dr. Justin R Misurell, PHD practice?

The practice location is 185 Washington St, Metro Rdtc, Newark, NJ 07102-3011. The office can be reached at 973-735-9370 (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 1558617423 directly on the NPPES registry website.

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