Clifford E Barneman, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00470700 Issued in NJ

Practice address

934 Chelsea St
Forked River, NJ 08731-1032

Phone

(848) 459-5956

Fax

(732) 657-1089

NPI assigned

Aug 28, 2009

Last updated

Aug 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Clifford Barneman, Psy D, LLC

  • Psychologist
  • Forked River, NJ
  • NPI 1033342787
  Authorized official Same address or phone

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1043443799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 CHELSEA ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311032",
            "telephone_number": "848-459-5956",
            "fax_number": "732-657-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CHELSEA ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311032",
            "telephone_number": "848-459-5956",
            "fax_number": "732-657-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEMAN",
        "first_name": "CLIFFORD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00470700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "35SI00470700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.