Jacqueline A Rondeau Psyd

LBN: Jacqueline A Rondeau Psyd
Jacqueline A Rondeau Psyd is an health care organization with primary practice located at 70 Park St Suite 207, Montclair NJ 07042-5907. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Jacqueline A Rondeau Psyd can be contacted via phone (973) 743-4555, or through Rondeau, Jacqueline Ann via phone (973) 743-4555.

Contact Information

Primary practice address
70 Park St Suite 207 Montclair NJ 07042-5907
Phone: (973) 743-4555
Fax: (973) 743-4055
Website:
Map and Directions
Authorized official contact:
Name: Rondeau, Jacqueline Ann PSYD
Phone: (973) 743-4555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 35SI00390000 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00390000 New Jersey

Profile Details

NPI number 1992182372
LBN Legal business name Jacqueline A Rondeau Psyd
DBA Doing business as
Authorized official Rondeau, Jacqueline Ann PSYD
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2015
Last updated May 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992182372 NPPES
New Jersey MEDICAID 0051560

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