Active NPIOrganization

Jacqueline A Rondeau PSYD

Clinical Neuropsychologist in Montclair, New Jersey

NPI Number1992182372
Practice location
70 Park St, Suite 207, Montclair, NJ 07042-5907
Fax
973-743-4055
Last updated
May 5, 2015

Jacqueline A Rondeau PSYD is a healthcare organization based in Montclair, NJ. Jacqueline A Rondeau PSYD practices in Montclair, NJ. The NPI Number for Jacqueline A Rondeau PSYD is 1992182372 and holds a License No. 35SI00390000 (NJ). The current practice location address for Jacqueline A Rondeau PSYD is 70 Park St, Suite 207, Montclair, NJ 07042-5907 and can be reached out via phone at 973-743-4555 and via fax at 973-743-4055.

Provider Profile Details

NPI Number
1992182372
Provider Name
Jacqueline A Rondeau PSYD
Provider Entity Type
Organization
Address
70 Park St, Suite 207, Montclair, NJ 07042-5907
Phone Number
973-743-4555
Fax Number
973-743-4055
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Organization Subpart
No
Authorized Official
Dr. Jacqueline Ann Rondeau, PSYD · Clinical Director · 973-743-4555
Provider Enumeration Date
May 5, 2015
Last Update Date
May 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Park St
Suite 207
Montclair, NJ 07042-5907
Zip
07042-5907
Phone Number
973-743-4555
Fax Number
973-743-4055
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
375 Belleville Ave
Bloomfield, NJ 07003-2634
City
Bloomfield
State
NJ
Zip
07003-2634
Phone Number
973-743-4555
Fax Number
973-743-4055

License Information

License Number (1)
35SI00390000
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
35SI00390000
License State (2)
NJ
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X · 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 Jacqueline A Rondeau PSYD?

The NPI number of Jacqueline A Rondeau PSYD is 1992182372. It was assigned on May 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Jacqueline A Rondeau PSYD?

Jacqueline A Rondeau PSYD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in NJ under license number 35SI00390000.

Where does Jacqueline A Rondeau PSYD practice?

The practice location is 70 Park St, Suite 207, Montclair, NJ 07042-5907. The office can be reached at 973-743-4555 (phone) or 973-743-4055 (fax).

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 1992182372 directly on the NPPES registry website.

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