Active NPI
Metropolitan Neuropsychological Consulting P.C.
- Psychologist
- Fort Lee, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SI4788
- Legal business name
- METROPOLITAN NEUROPSYCHOLOGICAL CONSULTING P.C.
- Practice address
- 440 West St
Suite 302
Fort Lee, NJ 07024 - Phone
- (917) 757-6707
- NPI assigned
- Feb 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marina Shikhman, PH.D.
- Title
- Owner
- Phone
- (917) 757-6707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SI4788 | NJ | Primary |
Addresses
Primary practice location
440 West St
Suite 302
Fort Lee, NJ 07024
Mailing address
1530 Palisade Ave
#25C
Fort Lee, NJ 07024-5471
Phone (917) 757-0381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2460 Lemoine Ave
Ste 400
Fort Lee, NJ 07024
Phone (201) 970-1080
440 West St
Ste 302
Fort Lee, NJ 07024
Phone (917) 757-6707
440 West St
#302
Fort Lee, NJ 07024
Phone (917) 757-6707
2337 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 927-9786
2337 Lemoine Ave
#104
Fort Lee, NJ 07024
Phone (917) 757-0381
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Fort Lee, NJ
- NPI 1578795480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672272000000",
"number": "1154627073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 PALISADE AVE",
"address_2": "#25C",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245471",
"telephone_number": "917-757-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WEST ST",
"address_2": "SUITE 302",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024",
"telephone_number": "917-757-6707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN NEUROPSYCHOLOGICAL CONSULTING P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-10",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A",
"authorized_official_last_name": "SHIKHMAN",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-757-6707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NJ",
"license": "SI4788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.