Lisa M Ilaria, PSYD
Psychologist, Clinical in Montclair, New Jersey
1972748655- Practice location
- 105 Grove St Ste 14-3, Montclair, NJ 07042-4051
- Phone
- 973-983-3762
- Fax
- —
- Last updated
- June 18, 2021
Lisa M Ilaria is a Psychologist, Clinical based in Montclair, NJ. Lisa M Ilaria practices in Montclair, NJ and has the professional credentials of PSYD. The NPI Number for Lisa M Ilaria is 1972748655 and holds a License No. 017917-1 (NY). The current practice location address for Lisa M Ilaria is 105 Grove St Ste 14-3, Montclair, NJ 07042-4051 and can be reached out via phone at 973-983-3762.
Provider Profile Details
- NPI Number
- 1972748655
- Provider Name
- Lisa M Ilaria
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 105 Grove St Ste 14-3, Montclair, NJ 07042-4051
- Phone Number
- 973-983-3762
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 9, 2008
- Last Update Date
- June 18, 2021
- Certification Date
- June 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Grove St Ste 14-3
Montclair, NJ 07042-4051 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4051
- Phone Number
- 973-983-3762
Provider Business Mailing Address Details
- Address
- 80 Grove St
Montclair, NJ 07042-3708 - City
- Montclair
- State
- NJ
- Zip
- 07042-3708
- Phone Number
- 503-307-0754
License Information
- License Number (1)
- 017917-1
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 35SI00482800
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · 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 Lisa M Ilaria, PSYD?
The NPI number of Lisa M Ilaria, PSYD is 1972748655. It was assigned on December 9, 2008 and is currently active in the NPPES registry.
What is the specialty of Lisa M Ilaria, PSYD?
Lisa M Ilaria, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 017917-1.
Where does Lisa M Ilaria, PSYD practice?
The practice location is 105 Grove St Ste 14-3, Montclair, NJ 07042-4051. The office can be reached at 973-983-3762 (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 1972748655 directly on the NPPES registry website.