Kristin Clyne, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00248400 Issued in NJ

Practice address

2137 Route 33
Hamilton, NJ 08690-1740

Phone

(609) 588-9989

NPI assigned

Apr 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1699152827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 ROUTE 33",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086901740",
            "telephone_number": "609-588-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNE",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00248400",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Francis Civinski, DC
• Clarity Behavioral Health LLC
• Lindsay Clark, PT, DPT
• Isabel Clemente
• Michele Ann Clute, BA
• Cnjhs LLC
• Cocco Enterprises Inc
• Daniel J. Cohen, MD
• Sarah Cohen, BCBA
• Frank Colabella III, ATC

• Mental Health Counselor in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.