JILL MIRLIS PSYD
NPI 1467050641
Psychologist - Clinical in Passaic, NJ

Q: What is Jill Mirlis's NPI number?

The NPI number for Jill Mirlis is 1467050641. It was assigned to this individual provider in the NPPES registry on October 11, 2020. The provider is also known as Jill Bogard Ms.Ed..

Q: What is Jill Mirlis'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 Jill Mirlis was last updated on February 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 11, 2020

122 HIGH ST, PASSAIC, NJ 07055(973) 930-1770 Get Directions Write a Review

NPPES record last updated: February 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2024, Nov 13, 2023, Oct 11, 2020 (3 updates tracked since 2020).

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About Jill Mirlis Psyd NPPES

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

JILL MIRLIS PSYD (NPI 1467050641) is an individual clinical provider in Passaic, New Jersey, licensed in New Jersey (35S100704700) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1467050641

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJILL MIRLISCredential: PSYD

Location Address122 HIGH STPassaic, NJ 07055-4753

Mailing Address122 High StPassaic, NJ 07055-4753 · (973) 930-1770

Phone(973) 930-1770

Sole ProprietorYes

Enumeration DateOctober 11, 2020

Last NPPES UpdateFebruary 10, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2024

✔ NPI 1467050641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NJ · 35S100704700

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.

Also ListedPsychologistTaxonomy 103T00000X · License 026273 (NY)

122 HIGH ST, Passaic, NJ 07055

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Other Names 1

Former Name (1)Jill Bogard Ms.ed.

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 Jill Mirlis's NPI number?

The NPI number for Jill Mirlis is 1467050641. It was assigned to this individual provider in the NPPES registry on October 11, 2020. The provider is also known as Jill Bogard Ms.Ed..

Where is Jill Mirlis located?

Jill Mirlis practices at 122 High St, Passaic, NJ 07055. The listed phone number is (973) 930-1770.

What is Jill Mirlis'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 Jill Mirlis was last updated on February 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.