Jennifer Ra LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JENNIFER RA LLC

Practice address

307 Bloomfield Ave Ste 301
Caldwell, NJ 07006-5105

Phone

(973) 524-6501

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ra, PSYDNPI 1144613654

Title

Psychologist

Phone

(201) 232-2806

Specialties & licenses 1

Addresses

Other names 1

• Ra Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Ra, PSYD

  • Psychologist
  • Caldwell, NJ
  • NPI 1144613654
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1891303392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BLOOMFIELD AVE STE 301",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065105",
            "telephone_number": "973-524-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BLOOMFIELD AVE STE 301",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065105",
            "telephone_number": "973-524-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "RA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-232-2806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ra Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nicholas Z Juzdan
• Kenneth W Arida in Caldwell PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.