Paulette Mary Kliminski

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00270600 Issued in NJ

Practice address

65 Jay St
Newark, NJ 07103-3235

Phone

(973) 202-9374

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Paulette Mary Grace Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962534008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SPARROW DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394513",
            "telephone_number": "973-202-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033235",
            "telephone_number": "973-202-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMINSKI",
        "first_name": "PAULETTE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00270600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6649904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "GRACE",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marc Klapholz, M.D.
• Rebecca Paige Klausner, MD
• Justin Samuel Kleiman, DPM
• Kenneth Michael Klein, M.D.
• Simone Celia Klein, M.D.
• Natalie Klinoff, P.A.
• Anna Klisiewicz
• Tiandrea Shana Knight, NP
• Derrick Knighton
• Knowledge Behavioral Health

• Clinical Psychologist in Newark, NJ
• Providers in Newark, 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 9, 2007; 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.