Individual provider Active NPI

John Tarpinian, ED.D.

  • Clinical Psychologist
  • Woodcliff Lake, NJ
National Provider Identifier
1073654703
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI 02119 Issued in NJ
Practice address
172 Broadway
Suite 209
Woodcliff Lake, NJ 07677-8077
Phone
(201) 930-1514
Fax
(201) 930-0042
NPI assigned
Feb 8, 2007
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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 SI 02119 NJ Primary

Addresses

Primary practice location

172 Broadway
Suite 209
Woodcliff Lake, NJ 07677-8077

Mailing address

172 Broadway
Suite 209
Woodcliff Lake, NJ 07677-8077
Phone (201) 930-1514

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
I20040729000413 NJ Practitioner - Clinical Psychologist 9638149370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

172 Broadway
Suite 209
Woodcliff Lake, NJ 07677-8077
Phone (201) 930-1514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI 02119NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John Tarpinian LLC Clinical CurrentSince Jan 1, 1989 Accepting new patients

Locations

172 Broadway
Ste 209
Woodcliff Lake, NJ 07677
Phone (201) 930-1514

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1073654703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 BROADWAY",
            "address_2": "SUITE 209",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778077",
            "telephone_number": "201-930-1514",
            "fax_number": "201-930-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 BROADWAY",
            "address_2": "SUITE 209",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778077",
            "telephone_number": "201-930-1514",
            "fax_number": "201-930-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARPINIAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI 02119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.