Jacqueline Ann Rondeau, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00390000 Issued in NJ

Practice address

28 Valley Rd
Montclair, NJ 07042-2709

Phone

(973) 746-4555

Fax

(973) 783-4055

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Montclair Memory Clinic LLC

  • Clinical Neuropsychologist
  • Montclair, NJ
  • NPI 1114396835
  Medicare reassignment NPD Authorized official
• Jacqueline a Rondeau PSYD

  • Clinical Neuropsychologist
  • Montclair, NJ
  • NPI 1992182372
  NPD (past) Authorized official
• Jacqueline a. Rondeau Psy.D. Clinical Psychological &Neuropsychologist

  • Clinic/Center
  • Montclair, NJ
  • NPI 1851316764
  NPD (past) Authorized official
• Challenges Psychological Services, P.a.

  • Nursing Facility/Intermediate Care Facility
  • Howell, NJ
  • NPI 1114968427
  NPD (past)
• Kessler Professional Services LLC

  • Specialist
  • West Orange, NJ
  • NPI 1508804048
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1285622217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8121",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070288121",
            "telephone_number": "973-743-4555",
            "fax_number": "973-743-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "973-746-4555",
            "fax_number": "973-783-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00390000",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00390000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051560",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland P Romano, LPC
• Courtney Allison Romans, LSW
• Gary Robert Rombough, MD
• Dawn Romeo, LCSW
• Rona Lopresti, PH.D.
• Andrew Rosamilia
• Rose Garden Speech Therapy
• Rose Gold Wellness, LLC
• Allen D Rosen, M.D.
• Steven B. Rosenbaum, M.D.

• Clinical Psychologist in Montclair, NJ
• Providers in Montclair, 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 Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.