Healthcare Provider Details

I. General information

NPI: 1003979741
Provider Name (Legal Business Name): RICHARD JOSEPH FINKELSTEIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 LAKE ST
BURLINGTON VT
05401-5297
US

IV. Provider business mailing address

86 LAKE ST
BURLINGTON VT
05401-5297
US

V. Phone/Fax

Practice location:
  • Phone: 973-903-4059
  • Fax:
Mailing address:
  • Phone: 973-903-4059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35SI00213100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: