| Mariam Rothfritz, Ph.d. And Associates | |
|
1135 Clifton Ave Ste 103 Clifton NJ 07013-3643 | |
| (973) 978-7188 | |
| Not Available |
| Full Name | Mariam Rothfritz, Ph.d. And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 1135 Clifton Ave Ste 103, Clifton, New Jersey |
| Authorized Official Name and Position | Mariam Rothfritz (OWNER) |
| Authorized Official Contact | 9739787188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Rothfritz, Ph.d. And Associates 58 Long Hill Dr Clifton NJ 07013-2321 Ph: (973) 978-7188 | Mariam Rothfritz, Ph.d. And Associates 1135 Clifton Ave Ste 103 Clifton NJ 07013-3643 Ph: (973) 978-7188 |
| NPI Number | 1639606825 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9032502331 |
|---|---|
| Medicare Enrollment ID | O20220209001736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639606825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00496700 (New Jersey) | Primary |
| Provider Name | Gary E Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902878101 PECOS PAC ID: 0244278422 Enrollment ID: I20050419000567 |
| Provider Name | Stella A Freid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669907481 PECOS PAC ID: 0345506903 Enrollment ID: I20171114003568 |
| Provider Name | Mariam Rothfritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518276500 PECOS PAC ID: 9234308636 Enrollment ID: I20220209001959 |
| Provider Name | Daria Filipovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003320680 PECOS PAC ID: 7416318274 Enrollment ID: I20230727000132 |
| Provider Name | June M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871999177 PECOS PAC ID: 8325409014 Enrollment ID: I20230727001921 |
| Provider Name | Melissa Petrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578225348 PECOS PAC ID: 7214398247 Enrollment ID: I20230807002349 |
| Provider Name | Kristel Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932892676 PECOS PAC ID: 5496109209 Enrollment ID: I20230927004322 |
| Provider Name | Elysa Renee Siegelheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831218445 PECOS PAC ID: 8628418704 Enrollment ID: I20240507000912 |
| Provider Name | Kathryn Jean Camisa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538642939 PECOS PAC ID: 1254772395 Enrollment ID: I20240507003736 |
| Provider Name | Ociel Bravo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982704763 PECOS PAC ID: 4688015332 Enrollment ID: I20240513000024 |
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