Rebecca Olejniczak, PSY.D., M.B.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100524600 Issued in NJ

Practice address

6 Humphreys Ave
Pennsville, NJ 08070-1116

Phone

(856) 678-6954

Fax

(856) 678-4458

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsville Counseling Associates, L.L.C.

  • Psychologist
  • Swedesboro, NJ
  • NPI 1376756577

  Clinical

  Medicare reassignment NPD
• A to Z Psychological Services LLC

  • Psychologist
  • Mullica Hill, NJ
  • NPI 1831635192
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1942625124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUMPHREYS AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701116",
            "telephone_number": "856-678-6954",
            "fax_number": "856-678-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HUMPHREYS AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701116",
            "telephone_number": "856-678-6954",
            "fax_number": "856-678-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEJNICZAK",
        "first_name": "REBECCA",
        "credential": "PSY.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100524600",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rory Moran
• Megan Marie Morsello, FNP-C
• Ivan Mark Nadler, DC
• Donovan Nelson
• Neil Tuan Nguyen
• Ophthalmic Surgeons LLC
• Optimal Health Solutions (Allstar Medical Supply)
• Peaceful Hands Home Care LLC
• Yadagiri R Pendyala, RPH
• Pennsalem Medical Center, Inc.

• Clinical Psychologist in Pennsville, NJ
• Providers in Pennsville, 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 Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.