Michael Dribbon, PHD
Individual provider Active NPI Clinical Psychologist · Mountainside, NJ
NPI 1003922337 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003922337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 35SI00318900 (NJ)
- Practice address
- 150 New Providence Rd
Mountainside, NJ 07092-2590 - Phone
- (908) 233-3720
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00318900 | NJ | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00318900 | NJ | Yes |
Addresses
Primary practice location
150 New Providence Rd
Mountainside, NJ 07092-2590
Mailing address
150 New Providence Rd
Mountainside, NJ 07092-2590
Phone (908) 233-3720
Other providers in Mountainside, NJ
- Dr. Laura Andreias Gastroenterology LLC
- Dr. Laurence Bremmer, DMD, PA
- Drake & Presti ENT Surgical Associates, LLC
- William Drake III
- Kathleen Drake
- Doris Eckstine
- Nancy Emrich-Petrillo
- Encanto Therapy Group LLC
- Francisco Javier Espinoza
- Everest Chiropractic PC
All providers in Mountainside, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.