Individual provider Active NPI

Brad Ahern

  • Psychologist
  • Franklin Lakes, NJ
National Provider Identifier
1164181400
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00784700 Issued in NJ
Practice address
851 Franklin Lake Rd Ste 204
Franklin Lakes, NJ 07417-2267
Phone
(833) 937-2724
NPI assigned
Dec 14, 2021
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00784700 NJ Primary

Addresses

Primary practice location

851 Franklin Lake Rd Ste 204
Franklin Lakes, NJ 07417-2267

Mailing address

851 Franklin Lake Rd Ste 204
Franklin Lakes, NJ 07417-2267
Phone (833) 937-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124003451 NJ Practitioner - Clinical Psychologist 6800388182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kessler Professional Services LLCGroup PAC ID 2860462652, 42 clinicians

Practice addresses (Care Compare)

300 Market St
Saddle Brook, NJ 07663-5309
Phone (201) 368-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00784700NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Professional Services LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

300 Market St
Saddle Brook, NJ 07663
Phone (201) 368-6000

1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1164181400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 204",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172267",
            "telephone_number": "833-937-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 204",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172267",
            "telephone_number": "833-937-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "BRAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00784700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.