Active NPI
Samina Salahuddin
- Counseling Psychologist
- Clifton, NJ
National Provider Identifier
1013173657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 37PC00373400
- Practice address
- 1149 Blommfield Ave.
Creative Intervention
Clifton, NJ 07012-2314 - Phone
- (973) 365-2300
- Fax
- (973) 365-0868
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 37PC00373400 | NJ | Primary |
Addresses
Primary practice location
1149 Blommfield Ave.
Creative Intervention
Clifton, NJ 07012-2314
Mailing address
289 Mount Prospect Ave
Clifton, NJ 07012-1009
Phone (973) 246-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00373400 | NJ | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1013173657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 MOUNT PROSPECT AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121009",
"telephone_number": "973-246-7802",
"fax_number": "973-470-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 BLOMMFIELD AVE.",
"address_2": "CREATIVE INTERVENTION",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070122314",
"telephone_number": "973-365-2300",
"fax_number": "973-365-0868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAHUDDIN",
"first_name": "SAMINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "37PC00373400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.