Vanessa Marcantuono, PH.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00411500 Issued in NJ

Legal business name

VANESSA MARCANTUONO, PH.D., LLC

Practice address

12 Reckless PL
Red Bank, NJ 07701-1704

Phone

(973) 652-1324

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa Marcantuono, PH.D.NPI 1790893923

Title

Owner

Phone

(973) 652-1324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Marcantuono, PHD

  • Clinical Psychologist
  • Red Bank, NJ
  • NPI 1790893923
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1295185353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MONMOUTH BLVD",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571623",
            "telephone_number": "973-652-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RECKLESS PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011704",
            "telephone_number": "973-652-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA MARCANTUONO, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "MARCANTUONO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-652-1324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00411500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Valentino, LCSW
• Stephanie Geraldine Valet, APN
• Jeffrey Thomas Van Gelderen, M.D.
• Christina Van Ness, RN
• Jaclyn Vanderbeken, LAC
• Vijayalaxmi Varadarajan, MD
• Graciela Vasquez
• Sara Velez
• Velocity Chiropractic & Wellness Center
• Velocity Chiropractic and Wellness Center, L.L.C.

• Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.