Provider Demographics
NPI:1801947411
Name:ROONEY, JOHN REDMOND JR (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:REDMOND
Last Name:ROONEY
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 JOLLIFFE AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2006
Mailing Address - Country:US
Mailing Address - Phone:845-267-0677
Mailing Address - Fax:845-267-0677
Practice Address - Street 1:84 JOLLIFFE AVE
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2006
Practice Address - Country:US
Practice Address - Phone:845-267-0677
Practice Address - Fax:845-267-0677
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015467103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
556873OtherVALUE OPTIONS