Provider Demographics
NPI:1811183593
Name:MCGINNIS, KAREN (PSYD; RPT)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:PSYD; RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39-07 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5137
Mailing Address - Country:US
Mailing Address - Phone:551-206-8040
Mailing Address - Fax:201-791-8029
Practice Address - Street 1:978 ROUTE 45
Practice Address - Street 2:NORTHSIDE PLAZA, SUITE 200
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3521
Practice Address - Country:US
Practice Address - Phone:551-206-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016884103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent