Individual provider Active NPI

Marshall Stephen Harth, PH.D.

  • Psychologist
  • Ridgewood, NJ
National Provider Identifier
1093886210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00436400 Issued in NJ
Practice address
1172 E Ridgewood Ave
Suite 4
Ridgewood, NJ 07450-3936
Phone
(201) 684-0942
Fax
(201) 684-0941
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
Yes

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
Psychologist 103T00000X 35SI00436400 NJ Primary
Psychologist 103T00000X 005016 NY

Addresses

Primary practice location

1172 E Ridgewood Ave
Suite 4
Ridgewood, NJ 07450-3936

Mailing address

1172 E Ridgewood Ave
Suite 4
Ridgewood, NJ 07450-3936
Phone (201) 684-0942

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
005016NYMDMental Health Counselor
35SI00436400NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093886210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE",
            "address_2": "SUITE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503936",
            "telephone_number": "201-684-0942",
            "fax_number": "201-684-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE",
            "address_2": "SUITE 4",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503936",
            "telephone_number": "201-684-0942",
            "fax_number": "201-684-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTH",
        "first_name": "MARSHALL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00436400",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.