Leah A Maselli, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

173-064 Issued in NJ

Practice address

61 Nichol Ave
New Brunswick, NJ 08901

Phone

(848) 932-7884

Fax

(732) 932-2213

NPI assigned

Aug 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1245718204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 NICHOL AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012890",
            "telephone_number": "848-932-7884",
            "fax_number": "732-932-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 NICHOL AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "848-932-7884",
            "fax_number": "732-932-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 W End Ave",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "NJ",
            "postal_code": "088761816",
            "country_code": "US",
            "telephone_number": "908-333-4646 x110",
            "fax_number": "908-722-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASELLI",
        "first_name": "LEAH",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-03-19",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022810",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "173-064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elisabeth Marthedal, PA-C
• Kelly Anne Martin, RD
• Patricia Martin, DO
• Melissa Martinez, APN-BC
• Maryjoy Marzan, APN
• Margaret Mary Massett, DO
• Margaret Masterson
• Richard J Masterson, MD
• Reni Mathai, APN
• Sameera Mathan

• Clinical Psychologist in New Brunswick, NJ
• Providers in New Brunswick, 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 Mar 19, 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.

Verify at the official NPI Registry.