Active NPIIndividual providerSole proprietor

Nicole De Vita, PSYD

Psychologist, Clinical in Cedar Grove, New Jersey

NPI Number1669800900
Practice location
204 Grove Ave, Cedar Grove, NJ 07009-1436
Fax
—
Last updated
October 24, 2013

Nicole De Vita is a Psychologist, Clinical based in Cedar Grove, NJ. Nicole De Vita practices in Cedar Grove, NJ and has the professional credentials of PSYD. The NPI Number for Nicole De Vita is 1669800900 and holds a License No. 35S100452200 (NJ). The current practice location address for Nicole De Vita is 204 Grove Ave, Cedar Grove, NJ 07009-1436 and can be reached out via phone at 973-571-2840.

Provider Profile Details

NPI Number
1669800900
Provider Name
Nicole De Vita
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
204 Grove Ave, Cedar Grove, NJ 07009-1436
Phone Number
973-571-2840
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 24, 2013
Last Update Date
October 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Grove Ave
Cedar Grove, NJ 07009-1436
Zip
07009-1436
Phone Number
973-571-2840
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
204 Grove Ave
Cedar Grove, NJ 07009-1436
City
Cedar Grove
State
NJ
Zip
07009-1436

License Information

Taxonomy (2)
Psychologist, Adult Development & Aging · 103TA0700X
Taxonomy (3)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (4)
35S100452200
License State (4)
NJ
Taxonomy (4)
Psychologist, Clinical · 103TC0700X · Primary
Taxonomy (5)
Psychologist, Counseling · 103TC1900X
Taxonomy (7)
Psychologist, Family · 103TF0000X
Taxonomy (8)
Psychologist, Forensic · 103TF0200X
Taxonomy (9)
Psychologist, Group Psychotherapy · 103TP2701X

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 Nicole De Vita, PSYD?

The NPI number of Nicole De Vita, PSYD is 1669800900. It was assigned on October 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Nicole De Vita, PSYD?

Nicole De Vita, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100452200.

Where does Nicole De Vita, PSYD practice?

The practice location is 204 Grove Ave, Cedar Grove, NJ 07009-1436. The office can be reached at 973-571-2840 (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 1669800900 directly on the NPPES registry website.

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