Leonard Craig Sitrin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03450 Issued in NJ

Practice address

65 Mountain Blvd.
Suite 210
Warren, NJ 07059-5658

Phone

(732) 356-5665

Fax

(732) 356-0507

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 25, 2021 through Mar 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Karen Stage Opdyke, MD, PC

  • Psychiatry Physician
  • Whitehouse Station, NJ
  • NPI 1710101134
  NPD (past)
• William R. Nadel, M.D., PA

  • Psychiatry Physician
  • Chatham, NJ
  • NPI 1629013859
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215081948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HASTINGS CT",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071379",
            "telephone_number": "908-722-0260",
            "fax_number": "732-356-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MOUNTAIN BLVD.",
            "address_2": "SUITE 210",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595658",
            "telephone_number": "732-356-5665",
            "fax_number": "732-356-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITRIN",
        "first_name": "LEONARD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "03450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Steven Siegel, M.D.
• Beth Singer, MD
• Jasvinder Singh, M.D.
• Jyoti Sinha, M.D.
• Kavita Sinha, MD
• Brianna Sleight, LSW
• Jasmine Smith Brown, BCBA
• Lee David Smulen, D.M.D.
• Crystal Socha
• Soft Care Dental Group

• Clinical Psychologist in Warren, NJ
• Providers in Warren, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.