Individual provider Active NPI

Alan D. Filippi, PH.D.

  • Psychologist
  • Bergenfield, NJ
National Provider Identifier
1215905625
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4025 Issued in NJ
Practice address
136 N Prospect Ave
Bergenfield, NJ 07621-1221
Phone
(201) 417-7877
Fax
(201) 501-0940
NPI assigned
Mar 10, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013861 NY
Psychologist 103T00000X 4025 NJ Primary

Addresses

Primary practice location

136 N Prospect Ave
Bergenfield, NJ 07621-1221

Mailing address

136 N Prospect Ave
Bergenfield, NJ 07621-1221
Phone (201) 417-7877

Other identifiers 2

IdentifierTypeStateIssuer
8909407MedicaidNJ
1955540MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111216000169 NY Practitioner - Clinical Psychologist 2668646704 Practice locations: Sleepy Hollow, NY
I20111222000133 NJ Practitioner - Clinical Psychologist 2668646704 Reassigns benefits to 1 organization
Practice locations: Bergenfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1010 Kendal Way
Sleepy Hollow, NY 10591-1055
Phone (201) 417-7877

136 N Prospect Ave
Bergenfield, NJ 07621-1221
Phone (201) 417-7877

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013861NYMDMental Health Counselor
4025NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC CurrentSince Jun 11, 2018 Accepting new patients
Guardian Eldercare PC Past Accepting new patients
Senior Citizens Care Group,LLP PastSince Aug 21, 1995 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

Organizations & group practices 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1215905625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N PROSPECT AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211221",
            "telephone_number": "201-417-7877",
            "fax_number": "201-501-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N PROSPECT AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211221",
            "telephone_number": "201-417-7877",
            "fax_number": "201-501-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPPI",
        "first_name": "ALAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013861",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909407",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.