Beatrice Landman Mittman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00307500 Issued in NJ

Practice address

1117 Elberon Ave
Long Branch, NJ 07740-4555

Phone

(732) 870-0451

Fax

(732) 222-1366

NPI assigned

Jul 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1184824641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ELBERON AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404555",
            "telephone_number": "732-870-0451",
            "fax_number": "732-222-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ELBERON AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077404555",
            "telephone_number": "732-870-0451",
            "fax_number": "732-222-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTMAN",
        "first_name": "BEATRICE",
        "middle_name": "LANDMAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00307500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Miller, MD
• Barbara Jane Miller
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• Stefanie Mirabella
• Amit C Misra, MD
• Masako Mizusawa, M.D.
• MMC Provider Services
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• Rachael Ann Keegan Moffett, MD
• Eman Baker Mohammad

• Clinical Psychologist in Long Branch, NJ
• Providers in Long Branch, 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 Jul 23, 2007; 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.