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AVICENNA MEDICAL CENTER
NPI 1073904801
Psychologist - Prescribing (Medical) in Montclair, NJ

Active since February 16, 2015
129 VALLEY RD, 2ND FLOOR, MONTCLAIR, NJ 07042(973) 746-2620(973) 746-2579 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avicenna Medical Center NPPES

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

AVICENNA MEDICAL CENTER (NPI 1073904801) is a healthcare organization registered as a prescribing (medical) in Montclair, New Jersey and active in the NPI registry since February 2015. The organization lists Anna Michele Rossi, President/psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1073904801
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NameAVICENNA MEDICAL CENTER
Location Address129 VALLEY RD, 2ND FLOORMontclair, NJ 07042-2331
Mailing Address129 Valley Rd, 2nd FloorMontclair, NJ 07042-2331 · (973) 746-2620 · Fax (973) 746-2579
Phone(973) 746-2620
Fax(973) 746-2579
Organization SubpartNo
Authorized OfficialAnna Michele RossiPresident/psychiatrist · (973) 746-2620
Enumeration DateFebruary 16, 2015
✔ NPI 1073904801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in NJ · 25MB07627000
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
129 VALLEY RD, Montclair, NJ 07042
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

CYNTHIA MARIE RAINES LPC
Counselor
129 VALLEY RD
MONTCLAIR, NJ 07042
Essex County (973) 731-1428
CLINICAL OFFICE FOR PROGRESS AND EMPOWERMENT
Social Worker (Clinical)
129 VALLEY RD, 2ND FLOOR
MONTCLAIR, NJ 07042
Essex County (201) 844-5828
PAULINE MONTEMAYOR LCSW
Social Worker (Clinical)
129 VALLEY RD
MONTCLAIR, NJ 07042
Essex County (862) 210-2055
WINTERTREE PSYCHOTHERAPY
Clinic/Center (Adult Mental Health)
129 VALLEY RD
MONTCLAIR, NJ 07042
Essex County (973) 650-1832
RHEA BENSMAN PSYD LLC
Psychologist (Clinical)
129 VALLEY RD
MONTCLAIR, NJ 07042
Essex County (973) 744-8298
CHRISTINE MORALES LCSW
Social Worker (Clinical)
129 VALLEY RD, 2ND FLOOR
MONTCLAIR, NJ 07042
Essex County (201) 844-5828

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 Avicenna Medical Center's NPI number?

The NPI number for Avicenna Medical Center is 1073904801. It was assigned to this organization in the NPPES registry on February 16, 2015.

Where is Avicenna Medical Center located?

Avicenna Medical Center is located at 129 Valley Rd 2nd Floor, Montclair, NJ 07042. The listed phone number is (973) 746-2620.

What is Avicenna Medical Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Avicenna Medical Center was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.