| Doppler Psychology Services At Home Pc | |
|
100 Park Ave Ph 7c Fort Lee NJ 07024-3808 | |
| (516) 810-1290 | |
| Not Available |
| Full Name | Doppler Psychology Services At Home Pc |
|---|---|
| Speciality | Psychologist |
| Location | 100 Park Ave Ph 7c, Fort Lee, New Jersey |
| Authorized Official Name and Position | Manju Pradhan (PRESIDENT) |
| Authorized Official Contact | 9293520362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doppler Psychology Services At Home Pc 100 Park Ave Ph 7c Fort Lee NJ 07024-3808 Ph: (516) 810-1290 | Doppler Psychology Services At Home Pc 100 Park Ave Ph 7c Fort Lee NJ 07024-3808 Ph: (516) 810-1290 |
| NPI Number | 1396338364 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Medicare PECOS PAC ID | 2062821713 |
|---|---|
| Medicare Enrollment ID | O20210510000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396338364 | NPI | - | NPPES |
| Provider Name | Manju Pradhan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720122120 PECOS PAC ID: 1254491467 Enrollment ID: I20090728000422 |
| Provider Name | Charmaine Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568686699 PECOS PAC ID: 6709146095 Enrollment ID: I20180206001043 |
| Provider Name | Leslie Blumgold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437547601 PECOS PAC ID: 5799015186 Enrollment ID: I20190927001420 |
| Provider Name | Rochelle Tziona Schlachter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629584537 PECOS PAC ID: 0648689307 Enrollment ID: I20210510001148 |
| Provider Name | Anthony S Pick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457753568 PECOS PAC ID: 6002216637 Enrollment ID: I20210617002708 |
| Provider Name | Regina I Sarabia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780244566 PECOS PAC ID: 9436543667 Enrollment ID: I20220303001130 |
| Provider Name | Cynthia Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275980351 PECOS PAC ID: 8123362340 Enrollment ID: I20220329001665 |
| Provider Name | Eleonora Berman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992261515 PECOS PAC ID: 1850764689 Enrollment ID: I20230227001067 |
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