Active NPI
Marisol Habrahamshon, PSY.D.
- Psychologist
- Hackensack, NJ
National Provider Identifier
1154520567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 83 Summit Ave
Hackensack, NJ 07601-1262 - Phone
- (201) 488-6678
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
83 Summit Ave
Hackensack, NJ 07601-1262
Mailing address
83 Summit Ave
Hackensack, NJ 07601-1262
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017728 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1154520567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011262",
"telephone_number": "201-488-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABRAHAMSHON",
"first_name": "MARISOL",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.