Jessica Nicole Halpern, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

25MA09864500 Issued in NJ

Practice address

608 Sherwood Pkwy Ste 106
Mountainside, NJ 07092-2512

Phone

(908) 379-8258

Fax

(888) 517-4388

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1750675195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY STE 106",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-379-8258",
            "fax_number": "888-517-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY STE 106",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-379-8258",
            "fax_number": "888-517-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "277445",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA09864500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra B Grundleger, PHD
• Amie C Gustavson, MS, CCC-SLP
• Alexandra Gutleber, M.S., CCC-SLP
• Elizabeth Ann Hack, PT, DPT
• Cecelia Hall, LCSW, LMFT
• Jill Harris, PHD
• Mary Jane Hart
• Gail A Hatch, PT
• Joyce Adams Hatchett, FAMILY NURSE PRACTIT
• Mumta Hathiramani, DMD

• Child & Adolescent Psychiatry Physician in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.