Active NPI
Curtis Wood Branch, PHD
- Clinical Psychologist
- Newark, NJ
National Provider Identifier
1124122742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4046
- Practice address
- 20 Washington Place
Room 329
Newark, NJ 07102-3174 - Phone
- (973) 645-3042
- Fax
- (973) 622-4813
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4046 | NJ | Primary |
Addresses
Primary practice location
20 Washington Place
Room 329
Newark, NJ 07102-3174
Mailing address
20 Washington Place
Room 329
Newark, NJ 07102-3174
Phone (973) 645-3042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124122742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WASHINGTON PLACE",
"address_2": "ROOM 329",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023174",
"telephone_number": "973-645-3042",
"fax_number": "973-622-4813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WASHINGTON PLACE",
"address_2": "ROOM 329",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023174",
"telephone_number": "973-645-3042",
"fax_number": "973-622-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "CURTIS",
"middle_name": "WOOD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "4046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.