DR. BRIAN REDONDO PSY.D.
NPI 1063902641
Psychologist - Clinical in Fairton, NJ

Q: What is Brian Redondo's NPI number?

The NPI number for Brian Redondo is 1063902641. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Q: What is Brian Redondo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Redondo was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2018

655 FAIRTON MILLVILLE RD, FAIRTON, NJ 08320(856) 453-4078 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brian Redondo Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN REDONDO PSY.D. (NPI 1063902641) is an individual clinical provider in Fairton, New Jersey, licensed in Massachusetts (7595-PY-PR) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1063902641

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRIAN REDONDOCredential: PSY.D.

Location Address655 FAIRTON MILLVILLE RDFairton, NJ 08320-2000

Mailing Address106 Nursery DrGlassboro, NJ 08028-3114

Phone(856) 453-4078

Sole ProprietorNo

Enumeration DateMay 18, 2018

✔ NPI 1063902641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 7595-PY-PR

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

655 FAIRTON MILLVILLE RD, Fairton, NJ 08320

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FCI FAIRTON PHARMACY

Clinic/Center (Prison Health)

655 FAIRTON MILLVILLE RD
FAIRTON, NJ 08320

Cumberland County (856) 453-4061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Redondo's NPI number?

The NPI number for Brian Redondo is 1063902641. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Brian Redondo located?

Brian Redondo practices at 655 Fairton Millville Rd, Fairton, NJ 08320. The listed phone number is (856) 453-4078.

What is Brian Redondo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brian Redondo was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.