Individual provider Active NPI

Dennis F La Scala, PH.D.

  • Family Psychologist
  • Caldwell, NJ
National Provider Identifier
1124022678
Registry record updated Nov 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
35SI00384100 Issued in NJ
Practice address
14 Smull Ave
Caldwell, NJ 07006-5012
Phone
(973) 226-5521
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 35SI00384100 NJ Primary
School Psychologist 103TS0200X 00069899 NJ
Marriage & Family Therapist 106H00000X 37FI00158000 NJ

Addresses

Primary practice location

14 Smull Ave
Caldwell, NJ 07006-5012

Mailing address

16 Ward PL
Caldwell, NJ 07006-5008
Phone (973) 364-9613

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
I20100114000262 NJ Practitioner - Clinical Psychologist 2466593322 Practice locations: Caldwell, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Smull Ave
Caldwell, NJ 07006-5012
Phone (973) 226-5521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00384100NJMDFamily Psychologist
00069899NJMDSchool Psychologist
37FI00158000NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258156800000",
    "number": "1124022678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WARD PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065008",
            "telephone_number": "973-364-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065012",
            "telephone_number": "973-226-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA SCALA",
        "first_name": "DENNIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NJ",
            "license": "35SI00384100",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "00069899",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00158000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.