Jessica Jean Auth, PH.D.
Individual provider Active NPI Psychologist · Springfield, NJ
NPI 1760469845 · NPPES record last updated Jun 12, 2012
Key facts
- NPI
- 1760469845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4777 (NJ)
- Practice address
- 28 Millburn Ave
Springfield, NJ 07081-1039 - Phone
- (973) 467-9333
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Auth, PHD LLC | Current | Accepting new patients | |
| Summit Psychiatric & Counseling Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 015883 | NY | |
| Psychologist | 103T00000X | 4777 | NJ | Yes |
Addresses
Primary practice location
28 Millburn Ave
Springfield, NJ 07081-1039
Mailing address
28 Millburn Ave
Springfield, NJ 07081-1039
Phone (973) 467-9333
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All providers in Springfield, NJ · Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.