Jacqueline Farnese, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JACQUELINE FARNESE, PSY.D., LLC

Practice address

109 Spring St
Bordentown, NJ 08505-1853

Phone

(732) 618-2969

NPI assigned

Mar 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Farnese, PSY.D.NPI 1659611028

Title

Clinical Psychologist

Phone

(609) 452-9794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Jacqueline Farnese, PSY.D.

  • Clinical Psychologist
  • Princeton JCT, NJ
  • NPI 1659611028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1992046726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SPRING ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051853",
            "telephone_number": "732-618-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SPRING ST",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051853",
            "telephone_number": "732-618-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE FARNESE, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "FARNESE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-452-9794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Bordentown, NJ
• Providers in Bordentown, 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 Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.