Judith G. Dederick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00170800 Issued in NJ

Practice address

1453 E Broad St
Westfield, NJ 07090-1131

Phone

(908) 233-7139

NPI assigned

Jul 13, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215907200000",
    "number": "1770747388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901131",
            "telephone_number": "908-233-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BROAD ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901131",
            "telephone_number": "908-233-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDERICK",
        "first_name": "JUDITH",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00170800",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00170800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Davidson, DCN,RD,CDE
• Imani Davis
• Katherine I De Vito
• Mae Lucille Ebardo Dearing, PT, DPT
• Breanna M Decker
• Michelle Deegan, LCSW
• Isabel Del Valle, LAMFT
• Demetria E Delia, PHD LCSW
• Julia Nelson Delinsky
• Mary Anne Delnegro-Mason, D.C.

• Clinical Psychologist in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2008; 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.