Camille Lucille Dullaghan

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

784068 Issued in CA

Practice address

125 Valley Road
Montclair, NJ 07042

Phone

(973) 865-5245

NPI assigned

Apr 12, 2007

Last updated

Feb 26, 2014By the provider in NPPES

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 names 1

• Ms. Camille Lucille Dullaghan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1639393358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TIERNEY DRIVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "973-239-2359",
            "fax_number": "973-482-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 VALLEY ROAD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-865-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLAGHAN",
        "first_name": "CAMILLE",
        "middle_name": "LUCILLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NO04249100",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "784068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "DULLAGHAN",
            "middle_name": "LUCILLE",
            "prefix": "MS.",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julia Rose Duardo, ATC
• Stacie Dubnoff, LCSW
• Toraya Dubois
• Ashley Hilaire Dubreus, PT, DPT
• Alessandra Ducasse, LCSW
• Raymonde H Dumont, LMFT
• Faith Dunkel, PSY.D.
• Elizabeth Dyer, LCSW
• Frank J. Dyer, PH.D.
• E Noach Shapiro LCSW

• Psychiatric/Mental Health Registered Nurse in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatric/Mental Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.