DR. MARY M IANNOTTI PH.D.
NPI 1346379708
Psychologist in Wayne, NJ

Active since March 03, 2007
48 NIMITZ RD, WAYNE, NJ 07470(973) 628-9394(973) 633-0001 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mary M Iannotti Ph.d. NPPES

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

DR. MARY M IANNOTTI PH.D. (NPI 1346379708) is an individual psychologist in Wayne, New Jersey, licensed in New Jersey (35SI00094200) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1346379708
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY M IANNOTTICredential: PH.D.
Location Address48 NIMITZ RDWayne, NJ 07470-3716
Mailing Address48 Nimitz RdWayne, NJ 07470-3716 · (973) 628-9394 · Fax (973) 633-0001
Fax(973) 633-0001
Sole ProprietorYes
Enumeration DateMarch 3, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1346379708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 35SI00094200
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

48 NIMITZ RD, Wayne, NJ 07470

Other Identifiers 2

Medicaid0066354NJ
Medicare ID-Type Unspecified096305NJ · Clinical Psychologist

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346379708, enumerated as an "individual" on March 03, 2007.

The provider is located at 48 NIMITZ RD WAYNE, NJ 07470 and the phone number is (973) 628-9394.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.