IndividualActive
Brian Redondo, PSY.D.
NPI 1063902641 · Clinical Psychologist · Fairton, NJ
Brian Redondo, PSY.D. is a Clinical Psychologist provider in Fairton, NJ (NPI 1063902641).
Provider details
- NPI number
- 1063902641
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 7595-PY-PR (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
655 Fairton Millville Rd
Fairton, NJ 08320-2000
Phone: (856) 453-4078
Approximate (ZIP-level) locationGet directions
Mailing address
106 Nursery Dr
Glassboro, NJ 08028-3114
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2018-05-18
Frequently asked questions
- What is Brian Redondo's NPI number?
- Brian Redondo's National Provider Identifier (NPI) is 1063902641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Redondo's specialty?
- Brian Redondo is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Brian Redondo located?
- Brian Redondo's practice location on file with NPPES is 655 Fairton Millville Rd, Fairton, NJ 08320-2000.
- What is Brian Redondo's phone number?
- The practice phone number listed in the NPPES registry for Brian Redondo is (856) 453-4078.
- Is Brian Redondo's NPI active?
- Yes — Brian Redondo's NPI (1063902641) is active in the NPPES registry as of the last update on 2018-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.