Active NPIIndividual providerSole proprietor

Dr. Nancy Distel, PHD

Psychologist, Clinical in Millburn, New Jersey

NPI Number1801814777
Practice location
90 Millburn Ave, Ste. 202A, Millburn, NJ 07041-1933
Fax
—
Last updated
July 8, 2007

Nancy Distel is a Psychologist, Clinical based in Millburn, NJ. Nancy Distel practices in Millburn, NJ and has the professional credentials of PHD. The NPI Number for Nancy Distel is 1801814777 and holds a License No. SI3927 (NJ). The current practice location address for Nancy Distel is 90 Millburn Ave, Ste. 202A, Millburn, NJ 07041-1933 and can be reached out via phone at 973-378-5525.

Provider Profile Details

NPI Number
1801814777
Provider Name
Nancy Distel
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
90 Millburn Ave, Ste. 202A, Millburn, NJ 07041-1933
Phone Number
973-378-5525
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Millburn Ave
Ste. 202A
Millburn, NJ 07041-1933
Zip
07041-1933
Phone Number
973-378-5525
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
90 Millburn Ave
Suite 202A
Millburn, NJ 07041-1933
City
Millburn
State
NJ
Zip
07041-1933

License Information

License Number
SI3927
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. Nancy Distel, PHD?

The NPI number of Dr. Nancy Distel, PHD is 1801814777. It was assigned on July 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nancy Distel, PHD?

Dr. Nancy Distel, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number SI3927.

Where does Dr. Nancy Distel, PHD practice?

The practice location is 90 Millburn Ave, Ste. 202A, Millburn, NJ 07041-1933. The office can be reached at 973-378-5525 (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 1801814777 directly on the NPPES registry website.

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