Individual provider Active NPI

Iris N. Biagioli, PH,D.

  • Clinical Psychologist
  • Westfield, NJ
National Provider Identifier
1194898270
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100217100 Issued in NJ
Practice address
865 Tice PL
Westfield, NJ 07090-2626
Phone
(908) 654-6868
Fax
(908) 654-8043
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Cognitive & Behavioral Psychologist 103TB0200X
Clinical Psychologist 103TC0700X 35S100217100 NJ Primary

Addresses

Primary practice location

865 Tice PL
Westfield, NJ 07090-2626

Mailing address

865 Tice PL
Westfield, NJ 07090-2626
Phone (908) 654-6868

Other identifiers 1

IdentifierTypeStateIssuer
NJ PSYCHOLOGISTOtherNJ2171

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
I20041111001004 NJ Practitioner - Clinical Psychologist 6406810290 Practice locations: Westfield, NJ; Warren, NJ; Fanwood, NJ; West Orange, NJ; Clark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

865 Tice PL
Westfield, NJ 07090-2626
Phone (908) 654-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100217100NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1194898270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 TICE PL",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902626",
            "telephone_number": "908-654-6868",
            "fax_number": "908-654-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 TICE PL",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902626",
            "telephone_number": "908-654-6868",
            "fax_number": "908-654-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIAGIOLI",
        "first_name": "IRIS",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PH,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100217100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2171",
            "identifier": "NJ PSYCHOLOGIST",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.