Individual provider Active NPI

Ellen J Schwartz, PH.D.

  • Psychologist
  • Englewood, NJ
National Provider Identifier
1205045929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100325900 Issued in NJ
Practice address
155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone
(201) 928-1300
Fax
(201) 567-7952
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100325900 NJ Primary

Addresses

Primary practice location

155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532

Mailing address

155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone (201) 928-1300

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
I20100616000664 NJ Practitioner - Clinical Psychologist 9234269317 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

945 Lincoln PL
Teaneck, NJ 07666-2607
Phone (201) 928-1300

945 Lincoln Place
Teaneck, NJ 07666-2607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100325900NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205045929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312532",
            "telephone_number": "201-928-1300",
            "fax_number": "201-567-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312532",
            "telephone_number": "201-928-1300",
            "fax_number": "201-567-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "ELLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100325900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.