Active NPIIndividual providerSole proprietor

Dr. Doreen M Didomenico, PHD

Psychologist, Clinical in Summit, New Jersey

NPI Number1679591630
Practice location
597 Springfield Ave, Summit, NJ 07901-4503
Fax
—
Last updated
December 27, 2017

Doreen M. Didomenico is a Psychologist, Clinical based in Summit, NJ. Doreen M. Didomenico practices in Summit, NJ and has the professional credentials of PHD. The NPI Number for Doreen M. Didomenico is 1679591630 and holds a License No. 35SI00364600 (NJ). The current practice location address for Doreen M. Didomenico is 597 Springfield Ave, Summit, NJ 07901-4503 and can be reached out via phone at 201-362-3741.

Provider Profile Details

NPI Number
1679591630
Provider Name
Doreen M. Didomenico
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
597 Springfield Ave, Summit, NJ 07901-4503
Phone Number
201-362-3741
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2006
Last Update Date
December 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
597 Springfield Ave
Summit, NJ 07901-4503
City
Summit
Zip
07901-4503
Phone Number
201-362-3741
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
891 Kennedy Blvd
Bayonne, NJ 07002-2823
City
Bayonne
State
NJ
Zip
07002-2823
Phone Number
201-362-3741

License Information

License Number
35SI00364600
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. Doreen M Didomenico, PHD?

The NPI number of Dr. Doreen M Didomenico, PHD is 1679591630. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Doreen M Didomenico, PHD?

Dr. Doreen M Didomenico, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00364600.

Where does Dr. Doreen M Didomenico, PHD practice?

The practice location is 597 Springfield Ave, Summit, NJ 07901-4503. The office can be reached at 201-362-3741 (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 1679591630 directly on the NPPES registry website.

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