Judith Knox Herschlag, PH.D.

Key facts

NPI

1629296157

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

3833 (NJ)

Practice address

160 Alexander Ave
Upper Montclair, NJ 07043-2015

Phone

(973) 746-4899

NPI assigned

Apr 22, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Philosophy

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629296157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALEXANDER AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432015",
            "telephone_number": "973-746-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALEXANDER AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432015",
            "telephone_number": "973-746-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHLAG",
        "first_name": "JUDITH",
        "middle_name": "KNOX",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

• Marsha L. Grant-Ford, ATC, PHD
• Renata Hadis, MSW, LCSW
• Lori Ann Harris, MSW, LSW
• Frances Esther Hecker, PH.D.
• Leslie D. Heller, M.S.W., L.C.S.W
• Anna Mayer Higgins, PMHNP-BC
• Rita Hoenicke, MSW
• Amy M Hohn, LCSW
• Marykate Horrigan, P.T.
• Hummingbird Counseling and Trauma Center, LLC

All providers in Upper Montclair, NJ · Clinical Psychologist in New Jersey