Active NPI
Robert J Sliclen, PHD
- Psychologist
- Township of Washington, NJ
National Provider Identifier
1083731186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SI02012
- Practice address
- 450 Washington Ave
Township of Washington, NJ 07676-4031 - Phone
- (201) 664-2566
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | SI02012 | NJ | Primary |
Addresses
Primary practice location
450 Washington Ave
Township of Washington, NJ 07676-4031
Mailing address
450 Washington Ave
Township of Washington, NJ 07676-4031
Phone (201) 664-2566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39533981 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI02012 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083731186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 WASHINGTON AVE",
"city": "TOWNSHIP OF WASHINGTON",
"state": "NJ",
"postal_code": "076764031",
"telephone_number": "201-664-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WASHINGTON AVE",
"city": "TOWNSHIP OF WASHINGTON",
"state": "NJ",
"postal_code": "076764031",
"telephone_number": "201-664-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLICLEN",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "SI02012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39533981",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Township of Washington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.