Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avicenna Medical Center

Organization Prescribing (Medical) Psychologist · NPI 1073904801

Avicenna Medical Center is a Prescribing (Medical) Psychologist in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015

Practice location Address checks out

129 Valley Rd 2nd Fl
Montclair, NJ 07042-2331
Phone: (973) 746-2620
Fax: (973) 746-2579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence 25MB07627000 (NJ)

Record details

NPI number1073904801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anna Rossi — President/Psychiatrist · (973) 746-2620
NPI enumeratedFebruary 16, 2015
Last updated in NPPESFebruary 16, 2015
Mailing address129 Valley Rd, 2nd Floor, Montclair, NJ 07042-2331