Individual provider Active NPI

Evie L Falda

  • Psychologist
  • West Orange, NJ
National Provider Identifier
1134437841
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00628900 Issued in NJ
Practice address
17 Hoover Ave
West Orange, NJ 07052-2318
Phone
(917) 439-0404
Fax
(718) 677-0977
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7954 NY
Psychologist 103T00000X 35SI00628900 NJ Primary

Addresses

Primary practice location

17 Hoover Ave
West Orange, NJ 07052-2318

Mailing address

17 Hoover Ave
West Orange, NJ 07052-2318
Phone (917) 439-0404

Other names 1

  • Dr. Evie L. Falda Professional name

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
35SI00628900NJMDPsychologist
7954NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1134437841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HOOVER AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522318",
            "telephone_number": "917-439-0404",
            "fax_number": "718-677-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HOOVER AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522318",
            "telephone_number": "917-439-0404",
            "fax_number": "718-677-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALDA",
        "first_name": "EVIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7954",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00628900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVIE",
            "last_name": "FALDA",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.