Individual provider Active NPI

Allan H. Westreich, PH.D.

  • Clinical Psychologist
  • Bridgewater, NJ
National Provider Identifier
1003848367
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00337300 Issued in NJ
Practice address
250 State Route 28
Suite 206
Bridgewater, NJ 08807-1979
Phone
(908) 526-8760
Fax
(908) 842-0389
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00337300 NJ Primary

Addresses

Primary practice location

250 State Route 28
Suite 206
Bridgewater, NJ 08807-1979

Mailing address

22 Daniel Dr
Hillsborough, NJ 08844-3012
Phone (908) 526-8760

Other identifiers 1

IdentifierTypeStateIssuer
7063601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000038 NJ Practitioner - Clinical Psychologist 4385686070 Practice locations: Bridgewater, NJ; Princeton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 Route 28
Suite 206
Bridgewater, NJ 08807-1979
Phone (908) 526-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1003848367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DANIEL DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443012",
            "telephone_number": "908-526-8760",
            "fax_number": "908-842-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STATE ROUTE 28",
            "address_2": "SUITE 206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071979",
            "telephone_number": "908-526-8760",
            "fax_number": "908-842-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTREICH",
        "first_name": "ALLAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00337300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7063601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.