Kathleen M Prendergast, APN
Nurse Practitioner, Psych/Mental Health in Montclair, New Jersey
1669498846- Practice location
- 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663
- Phone
- 973-744-6522
- Fax
- 973-744-6362
- Last updated
- July 8, 2007
Kathleen Mary Prendergast is a Nurse Practitioner, Psych/Mental Health based in Montclair, NJ. Kathleen Mary Prendergast practices in Montclair, NJ and has the professional credentials of APN. The NPI Number for Kathleen Mary Prendergast is 1669498846 and holds a License No. 26NJ00108400 (NJ). The current practice location address for Kathleen Mary Prendergast is 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663 and can be reached out via phone at 973-744-6522 and via fax at 973-744-6362.
Provider Profile Details
- NPI Number
- 1669498846
- Provider Name
- Kathleen Mary Prendergast
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663
- Phone Number
- 973-744-6522
- Fax Number
- 973-744-6362
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 S Fullerton Ave Ste 210
Montclair, NJ 07042-2663 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2663
- Phone Number
- 973-744-6522
- Fax Number
- 973-744-6362
Provider Business Mailing Address Details
- Address
- 47 Washburn Pl
Caldwell, NJ 07006-5917 - City
- Caldwell
- State
- NJ
- Zip
- 07006-5917
- Phone Number
- 973-228-1740
License Information
- License Number
- 26NJ00108400
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kathleen M Prendergast, APN?
The NPI number of Kathleen M Prendergast, APN is 1669498846. It was assigned on July 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Kathleen M Prendergast, APN?
Kathleen M Prendergast, APN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00108400.
Where does Kathleen M Prendergast, APN practice?
The practice location is 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663. The office can be reached at 973-744-6522 (phone) or 973-744-6362 (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 1669498846 directly on the NPPES registry website.