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JACQUELINE A. RONDEAU PSY.D. CLINICAL PSYCHOLOGICAL &NEUROPSYCHOLOGIST NPI 1851316764


NPI Information

NPI: 1851316764
Provider Name: JACQUELINE A. RONDEAU PSY.D. CLINICAL PSYCHOLOGICAL &NEUROPSYCHOLOGIST
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
70 PARK ST
2ND FLOOR
MONTCLAIR, NJ
ZIP 07042
Phone: (973) 743-4555
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JACQUELINE A. RONDEAU PSY.D. CLINICAL PSYCHOLOGICAL &NEUROPSYCHOLOGIST is a clinic center in Montclair, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JACQUELINE A. RONDEAU PSY.D. CLINICAL PSYCHOLOGICAL &NEUROPSYCHOLOGIST NPI is 1851316764. The provider is registered as an organization entity type.

The provider's business location address is:

70 PARK ST
2ND FLOOR
MONTCLAIR, NJ
ZIP 07042-907
Phone: (973) 743-4555
Fax: (973) 743-4055

The provider's authorized official is Jacqueline Ann Rondeau .
The authorized official title is Sole Proprietor and has the following contact phone number (973) 743-4555.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center35S100390000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10051349MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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