Active NPI
Carl Papandrea, PSYD
- Counseling Psychologist
- Livingston, NJ
National Provider Identifier
1063219335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 233-017
- Practice address
- 160 S Livingston Ave Ste 113
Livingston, NJ 07039-3071 - Phone
- (973) 486-6248
- Fax
- (973) 486-6249
- NPI assigned
- Feb 25, 2025
- Sex
- Male
- 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 | 233-017 | NJ | Primary |
Addresses
Primary practice location
160 S Livingston Ave Ste 113
Livingston, NJ 07039-3071
Mailing address
160 S Livingston Ave Ste 113
Livingston, NJ 07039-3071
Phone (973) 486-6248
Other practice location 1
12 New Providence Rd Ste 101
Watchung, NJ 07069-5032
Phone (973) 486-6248
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 |
|---|---|---|---|
| 233-017 | NJ | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroinsight Psychological Services, LLC | Current | Accepting new patients | |
| Purepsych, LLC | Past | Accepting new patients |
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.
-
- Psychologist
- Kenilworth, NJ
- NPI 1932076619
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Livingston, NJ
- NPI 1962905489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1063219335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 S LIVINGSTON AVE STE 113",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393071",
"telephone_number": "973-486-6248",
"fax_number": "973-486-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S LIVINGSTON AVE STE 113",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393071",
"telephone_number": "973-486-6248",
"fax_number": "973-486-6249"
}
],
"practiceLocations": [
{
"address_1": "12 New Providence Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Watchung",
"state": "NJ",
"postal_code": "070695032",
"country_code": "US",
"telephone_number": "973-486-6248",
"fax_number": "973-486-6249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPANDREA",
"first_name": "CARL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NJ",
"license": "233-017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.