Active NPI
Jacqueline a. Rondeau Psy.D. Clinical Psychological &Neuropsychologist
- Clinic/Center
- Montclair, NJ
National Provider Identifier
1851316764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 35S100390000
- Legal business name
- JACQUELINE A. RONDEAU PSY.D. CLINICAL PSYCHOLOGICAL &NEUROPSYCHOLOGIST
- Practice address
- 70 Park St
2ND Floor
Montclair, NJ 07042-5907 - Phone
- (973) 743-4555
- Fax
- (973) 743-4055
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Ann Rondeau, PSY.D.
- Title
- Sole Proprietor
- Phone
- (973) 743-4555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 35S100390000 | NJ | Primary |
Addresses
Primary practice location
70 Park St
2ND Floor
Montclair, NJ 07042-5907
Mailing address
375 Belleville Ave
Apt. 2
Bloomfield, NJ 07003-2634
Phone (997) 374-3455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051349 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Jacqueline a Rondeau PSYD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Neuropsychologist
- Montclair, NJ
- NPI 1992182372
Locations
70 Park St
Fl 2
Montclair, NJ 07042
Phone (973) 743-4555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Montclair, NJ
- NPI 1285622217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851316764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 BELLEVILLE AVE",
"address_2": "APT. 2",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032634",
"telephone_number": "997-374-3455",
"fax_number": "973-743-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 PARK ST",
"address_2": "2ND FLOOR",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070425907",
"telephone_number": "973-743-4555",
"fax_number": "973-743-4055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACQUELINE A. RONDEAU PSY.D. CLINICAL PSYCHOLOGICAL &NEUROPSYCHOLOGIST",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RONDEAU",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "973-743-4555",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": "35S100390000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051349",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.