Individual provider Active NPI

Dena Felsen, PSY.D.

  • Clinical Psychologist
  • Waldwick, NJ
National Provider Identifier
1053552828
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4130 Issued in NJ
Practice address
85 Hopper Ave
Waldwick, NJ 07463-1517
Phone
(201) 493-2283
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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 4130 NJ Primary

Addresses

Primary practice location

85 Hopper Ave
Waldwick, NJ 07463-1517

Mailing address

85 Hopper Ave
Waldwick, NJ 07463-1517
Phone (201) 493-2283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2022 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4130NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1053552828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "201-493-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HOPPER AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631517",
            "telephone_number": "201-493-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSEN",
        "first_name": "DENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

Verify at the official NPI Registry.