| Lisa M Ilaria, PSYD | |
|
105 Grove St Ste 14-3, Montclair, NJ 07042-4051 | |
| (973) 983-3762 | |
| Not Available |
| Full Name | Lisa M Ilaria |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 105 Grove St Ste 14-3, Montclair, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972748655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017917-1 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35SI00482800 (New Jersey) | Primary |
| Entity Name | Nj Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447289376 PECOS PAC ID: 0648288712 Enrollment ID: O20060331000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Ilaria, PSYD 80 Grove St, Montclair, NJ 07042-3708 Ph: (503) 307-0754 | Lisa M Ilaria, PSYD 105 Grove St Ste 14-3, Montclair, NJ 07042-4051 Ph: (973) 983-3762 |
Dr. Nicole Gali Strope, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 38 Park St, Montclair, NJ 07042 Phone: 973-745-2711 Fax: 973-745-2711 | |
Dr. Ilana Tannenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31 S Fullerton Ave, 2nd Floor, Montclair, NJ 07042 Phone: 973-744-4494 | |
Dr. Ron Handelman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 460 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-734-0780 | |
Andrew Roth, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Park St, Montclair, NJ 07042 Phone: 973-378-5641 Fax: 973-762-0045 | |
Dr. Peter Avery, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 Park St, Montclair, NJ 07042 Phone: 973-865-1297 | |
Dr. Sudha Wadhwani, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Valley Rd, Montclair, NJ 07042 Phone: 973-868-4616 | |
Dr. Gina Marie Mcsheffrey-emmons, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Hillside Ave Ste 206, Montclair, NJ 07042 Phone: 917-723-9986 |