Individual provider Active NPI

Matthew Edmund Dailey, PH.D.

  • Psychologist
  • Hackettstown, NJ
National Provider Identifier
1073645842
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00396000 Issued in NJ
Practice address
699 Washington St
Ste 101
Hackettstown, NJ 07840-2260
Phone
(908) 813-2455
Fax
(908) 813-2403
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00396000 NJ Primary

Addresses

Primary practice location

699 Washington St
Ste 101
Hackettstown, NJ 07840-2260

Mailing address

699 Washington St
Ste 101
Hackettstown, NJ 07840-2260
Phone (908) 813-2455

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
I20140123000243 NJ Practitioner - Clinical Psychologist 8628206596 Practice locations: Hackettstown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

699 Washington St
Suite 101
Hackettstown, NJ 07840-2260
Phone (908) 813-2455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00396000NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Budd Therapy Group,LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1073645842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 WASHINGTON ST",
            "address_2": "STE 101",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402260",
            "telephone_number": "908-813-2455",
            "fax_number": "908-813-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WASHINGTON ST",
            "address_2": "STE 101",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402260",
            "telephone_number": "908-813-2455",
            "fax_number": "908-813-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "MATTHEW",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00396000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.