Active NPI
Mary Ellen Dicataldo, PSY.D.
- Psychologist
- Chatham, NJ
National Provider Identifier
1083401921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 243-047
- Practice address
- 466 Southern Blvd
Jefferson Building Third Floor
Chatham, NJ 07928 - Phone
- (973) 370-9944
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 243-047 | NJ | Primary |
Addresses
Primary practice location
466 Southern Blvd
Jefferson Building Third Floor
Chatham, NJ 07928
Mailing address
16 Fords Rd
Randolph, NJ 07869-2146
Phone (973) 271-2510
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 |
|---|---|---|---|
| 243-047 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1083401921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FORDS RD",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692146",
"telephone_number": "973-271-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 SOUTHERN BLVD",
"address_2": "JEFFERSON BUILDING THIRD FLOOR",
"city": "CHATHAM",
"state": "NJ",
"postal_code": "07928",
"telephone_number": "973-370-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICATALDO",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "243-047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.