Individual provider Active NPI

Anne R Farrar-Anton, PH.D.

  • Counseling Psychologist
  • Hackensack, NJ
National Provider Identifier
1073726782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35SI00430600 Issued in NJ
Practice address
30 Prospect Ave
Tomorrows Childrens Institute
Hackensack, NJ 07601-1914
Phone
(201) 996-5255
Fax
(201) 487-7340
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 35SI00430600 NJ Primary
Counseling Psychologist 103TC1900X 016115 NY

Addresses

Primary practice location

30 Prospect Ave
Tomorrows Childrens Institute
Hackensack, NJ 07601-1914

Mailing address

130 W Pleasant Ave
#190
Maywood, NJ 07607-1335
Phone (201) 315-7652

Other names 1

  • Dr. Anne Ranee Farrar Former name

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
I20250415002033 NJ Order and Referring Only - Clinical Psychologist 0446772578

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016115NYMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073726782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PLEASANT AVE",
            "address_2": "#190",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071335",
            "telephone_number": "201-315-7652",
            "fax_number": "201-487-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "TOMORROWS CHILDRENS INSTITUTE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-5255",
            "fax_number": "201-487-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR-ANTON",
        "first_name": "ANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00430600",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "016115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "FARRAR",
            "middle_name": "RANEE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.