Active NPI
Kristine Michelle Thielman, PSY.D.
- Psychologist
- Hoboken, NJ
National Provider Identifier
1114629029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 223-003
- Practice address
- 721 Adams St Apt 3
Hoboken, NJ 07030-2858 - Phone
- (716) 472-6363
- NPI assigned
- Mar 22, 2023
- Last updated
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 223-003 | NJ | Primary |
Addresses
Primary practice location
721 Adams St Apt 3
Hoboken, NJ 07030-2858
Mailing address
721 Adams St Apt 3
Hoboken, NJ 07030-2858
Phone (716) 472-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223-003 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1114629029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 ADAMS ST APT 3",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070302858",
"telephone_number": "716-472-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 ADAMS ST APT 3",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070302858",
"telephone_number": "716-472-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELMAN",
"first_name": "KRISTINE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "223-003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.