Active NPIIndividual providerSole proprietor

Mr. Kyle Mednick, LAC

Counselor, Mental Health in Caldwell, New Jersey

NPI Number1821799685
Practice location
51 Ravine Ave, Caldwell, NJ 07006-4829
Fax
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Last updated
March 16, 2023

Kyle Mednick is a Counselor, Mental Health based in Caldwell, NJ. Kyle Mednick practices in Caldwell, NJ and has the professional credentials of LAC. The NPI Number for Kyle Mednick is 1821799685 and holds a License No. 37AC00660400 (NJ). The current practice location address for Kyle Mednick is 51 Ravine Ave, Caldwell, NJ 07006-4829 and can be reached out via phone at 267-664-1380.

Provider Profile Details

NPI Number
1821799685
Provider Name
Kyle Mednick
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
51 Ravine Ave, Caldwell, NJ 07006-4829
Phone Number
267-664-1380
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 16, 2023
Last Update Date
March 16, 2023
Certification Date
March 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Ravine Ave
Caldwell, NJ 07006-4829
Zip
07006-4829
Phone Number
267-664-1380
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
51 Ravine Ave
Caldwell, NJ 07006-4829
City
Caldwell
State
NJ
Zip
07006-4829
Phone Number
267-664-1380

License Information

License Number
37AC00660400
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Mr. Kyle Mednick, LAC?

The NPI number of Mr. Kyle Mednick, LAC is 1821799685. It was assigned on March 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Kyle Mednick, LAC?

Mr. Kyle Mednick, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00660400.

Where does Mr. Kyle Mednick, LAC practice?

The practice location is 51 Ravine Ave, Caldwell, NJ 07006-4829. The office can be reached at 267-664-1380 (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 1821799685 directly on the NPPES registry website.

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