Provider Demographics
NPI:1588191100
Name:BADAAN, NADIMEH HANI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NADIMEH
Middle Name:HANI
Last Name:BADAAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 ADAMS ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-8025
Mailing Address - Country:US
Mailing Address - Phone:201-572-6191
Mailing Address - Fax:
Practice Address - Street 1:615 ADAMS ST APT 3C
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-8025
Practice Address - Country:US
Practice Address - Phone:201-572-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022109103TC0700X
FL9824103TC0700X, 103TF0200X
NJ5779103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic