Active NPI
Barbara Prempeh, PSYD
- Clinical Psychologist
- Montclair, NJ
National Provider Identifier
1205097433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00631000
- Practice address
- 94 Valley Rd Ste 302
Montclair, NJ 07042-2211 - Phone
- (732) 510-5045
- NPI assigned
- Jun 20, 2008
- Last updated
- May 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Counselor | 101Y00000X | T-4542 | NJ | |
| Clinical Psychologist | 103TC0700X | 35SI00631000 | NJ | Primary |
| School Psychologist | 103TS0200X | 939778 | NJ |
Addresses
Primary practice location
94 Valley Rd Ste 302
Montclair, NJ 07042-2211
Mailing address
651 N Stiles St # 225
Linden, NJ 07036-5759
Phone (732) 510-5045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144007 | Medicaid | NJ | |
| 31-4011 | Other | NJ | MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-4542 | NJ | MD | Counselor |
| 35SI00631000 | NJ | MD | Clinical Psychologist |
| 939778 | NJ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1205097433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 N STILES ST # 225",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070365759",
"telephone_number": "732-510-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 VALLEY RD STE 302",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422211",
"telephone_number": "732-510-5045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREMPEH",
"first_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2021-05-24",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "T-4542",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00631000",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NJ",
"license": "939778",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4144007",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "31-4011",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
- Positive Change Counseling LLC
- Joella Pounds, ATC
- Richard L Pounds, LCSW
- Harriet M Power, LCSW
- Premier Healthcare Center, LLC
- Kathleen Mary Prendergast, APN
- Arthur Lee Pressley Jr., PHD
- Prestige-First Mountain Company LLC
- Prestige-First Mountain Company LLC
- Primary Care Partners, LLC (Montclair Pediatric Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.