Anne Stearns Pardun, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00401400 Issued in NJ

Practice address

142 Livingston Ave
Suite 5
New Brunswick, NJ 08901-3087

Phone

(732) 794-1344

Fax

(908) 704-1790

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1184709412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LIVINGSTON AVE",
            "address_2": "SUITE 5",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013087",
            "telephone_number": "732-794-1344",
            "fax_number": "908-704-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LIVINGSTON AVE",
            "address_2": "SUITE 5",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089013087",
            "telephone_number": "732-794-1344",
            "fax_number": "908-704-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUN",
        "first_name": "ANNE",
        "middle_name": "STEARNS",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35S100401400",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00401400",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00401400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Paone Hettrick, PH.D., BCBA-D
• John Papacostas
• Denes Papp, M.D.
• Talia Paradiso
• Jeff Erwin Paragas
• Anand Parekh, DMD
• Dhruv Parekh, MBBS
• Mruga Parekh
• Angeli Grace Mendoza Parham, MSN, APRN, CRNA
• Bijal Parikh, M.D.

• Clinical Psychologist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.