Individual provider Active NPI

Harold Altman, PH.D.

  • Clinical Psychologist
  • Paterson, NJ
National Provider Identifier
1023061744
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100188000 Issued in NJ
Practice address
56 Hamilton St
Suite 4
Paterson, NJ 07505-2003
Phone
(973) 754-4750
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 35S100188000 NJ Primary

Addresses

Primary practice location

56 Hamilton St
Suite 4
Paterson, NJ 07505-2003

Mailing address

703 Main St
St. Joseph'S Regional Medical Center
Paterson, NJ 07503-2621
Phone (973) 754-2052

Other identifiers 1

IdentifierTypeStateIssuer
6367003MedicaidNJ

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
I20050629001053 NJ Practitioner - Clinical Psychologist 9931145919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Old Short Hills Rd
Livingston, NJ 07039-5605
Phone (973) 994-3145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100188000NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Healthcare, Inc. CurrentSince Mar 18, 2013 Accepting new patients
Gerson Hagovsky Antonelli & Altman, LLC Clinical CurrentSince Jun 1, 2010 Accepting new patients

Locations

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

56 Hamilton St
Ste 4
Paterson, NJ 07505
Phone (973) 754-4750

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1023061744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "address_2": "ST. JOSEPH'S REGIONAL MEDICAL CENTER",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 HAMILTON ST",
            "address_2": "SUITE 4",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052003",
            "telephone_number": "973-754-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "HAROLD",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100188000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6367003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.