Terence Joseph Kearse, PH.D.

Individual provider Active NPI Psychologist · Springfield, NJ

NPI 1992876387 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992876387
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
2619 (NJ)
Practice address
28 Millburn Ave
Springfield, NJ 07081-1039
Phone
(973) 467-9333
Fax
(973) 467-1145
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2619NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychiatric & Counseling Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2619 NJ Yes

Addresses

Primary practice location

28 Millburn Ave
Springfield, NJ 07081-1039

Mailing address

28 Millburn Ave
Springfield, NJ 07081-1039
Phone (973) 467-9333

Other providers in Springfield, NJ

All providers in Springfield, NJ · Psychologist in New Jersey

Sources for this page

Verify at the official NPI Registry.