Michael J Atlas, PSY. D.
Individual provider Active NPI Psychologist · Passaic, NJ
NPI 1134476369 · NPPES record last updated Dec 18, 2015
Key facts
- NPI
- 1134476369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 85 Crescent Ave
Passaic, NJ 07055-2437 - Phone
- (973) 931-2276
- Fax
- (973) 685-2981
- NPI assigned
- Aug 7, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
85 Crescent Ave
Passaic, NJ 07055-2437
Mailing address
85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 931-2276
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.