IndividualActive
Amanda O'Brien Milleisen, PHD
NPI 1437219011 · Clinical Psychologist · Ridgewood, NJ
Provider details
- NPI number
- 1437219011
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 35S100454100 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1 Prospect St Ste 4-7
Ridgewood, NJ 07450-4404
Phone: (201) 447-2242
Fax: (201) 447-4377
Approximate (ZIP-level) locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.