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JUSTIN DAVID PENNER PHD
NPI 1265942007
Psychologist - Clinical in Bronx, NY

Active since October 06, 2017
130 W KINGSBRIDGE RD, BRONX, NY 10468(718) 584-9000 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin David Penner Phd NPPES

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

JUSTIN DAVID PENNER PHD (NPI 1265942007) is an individual clinical provider in Bronx, New York, licensed in New York (021644) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1265942007
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJUSTIN DAVID PENNERCredential: PHD
Location Address130 W KINGSBRIDGE RDBronx, NY 10468-3904
Mailing Address130 W Kingsbridge RdBronx, NY 10468-3904 · (718) 584-9000
Phone(718) 584-9000
Sole ProprietorYes
Enumeration DateOctober 6, 2017
✔ NPI 1265942007 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 NY · 021644
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.
130 W KINGSBRIDGE RD, Bronx, NY 10468
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Other Providers at the Same Location NPPES 20

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

DR. KELLY RAE CLARK PHARM.D.
Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
CHARISSE JAMES
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. JEREMY SILVERMAN PHD
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
GUANQING SUN MD
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. MONICA ANN SORIO
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
MRS. BLANCA VICTORIA FABER MSW, ACSW, LCSW
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Bronx County (718) 584-9000
DR. HELENE EVE PRICE M.D.
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Bronx County (718) 584-9000
MS. ALBA L HERNANDEZ MS, RD
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000

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 Justin Penner's NPI number?

The NPI number for Justin Penner is 1265942007. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Justin Penner located?

Justin Penner practices at 130 W Kingsbridge Rd, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is Justin Penner'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 Justin Penner was last updated on October 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.