1407919509 NPI number — DR. BARBARA FLEISCHER PHD

Table of content: DR. BARBARA FLEISCHER PHD (NPI 1407919509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407919509 NPI number — DR. BARBARA FLEISCHER PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLEISCHER
Provider First Name:
BARBARA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FOX
Provider Other First Name:
BARBARA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407919509
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4286 RT 516
Provider Second Line Business Mailing Address:
BARBARA FLEISCHER PHD CLINICAL PSYCHOLOGIST
Provider Business Mailing Address City Name:
MATAWAN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-583-6380
Provider Business Mailing Address Fax Number:
732-583-0953

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4286 RT 516
Provider Second Line Business Practice Location Address:
BARBARA FLEISCHER PHD CLINICAL PSYCHOLOGIST
Provider Business Practice Location Address City Name:
MATAWAN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-583-6380
Provider Business Practice Location Address Fax Number:
732-583-0953
Provider Enumeration Date:
12/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  35S100178100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC0700X , with the licence number: 0083851 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 050792 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1131283 . This is a "HORIZON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 29770 . This is a "VBH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 030854 . This is a "MAGELLAN GREENSPRING" identifier . This identifiers is of the category "OTHER".
  • Identifier: V49431 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0032179 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050792 . This is a "VALU OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2352800 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01030854 . This is a "MENTAL HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: V49433 . This is a "EMPIRE" identifier . This identifiers is of the category "OTHER".




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