Kelly Ann Hargadon, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00429600 Issued in NJ

Practice address

1600 New Rd
Suite 2a
Northfield, NJ 08225-1108

Phone

(609) 601-2479

Fax

(609) 601-2478

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Brown Hargadon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vericare Behavioral Health of New Jersey, P.a.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1669408274
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1013949007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NEW RD",
            "address_2": "SUITE 2A",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251108",
            "telephone_number": "609-601-2479",
            "fax_number": "609-601-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NEW RD",
            "address_2": "SUITE 2A",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251108",
            "telephone_number": "609-601-2479",
            "fax_number": "609-601-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGADON",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00429600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HARGADON",
            "middle_name": "BROWN",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Healing Pathways Therapy Center LLC

• Psychologist in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.