Individual provider Active NPI

Nancy Just, PH.D.

  • Clinical Psychologist
  • Ridgewood, NJ
National Provider Identifier
1275666562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3382 Issued in NJ
Practice address
1 Prospect St
Suites 5-7
Ridgewood, NJ 07450-4404
Phone
(201) 447-2242
Fax
(201) 447-4377
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

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
Clinical Psychologist 103TC0700X 3382 NJ Primary

Addresses

Primary practice location

1 Prospect St
Suites 5-7
Ridgewood, NJ 07450-4404

Mailing address

1 Prospect St
Suites 5-7
Ridgewood, NJ 07450-4404
Phone (201) 447-2242

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
I20050524000046 NJ Practitioner - Clinical Psychologist 1557303245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Psychological Specialists, LLCGroup PAC ID 2264488410, 2 clinicians

Practice addresses (Care Compare)

1 Prospect St
Ridgewood, NJ 07450-4404
Phone 20144722421

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3382NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychological Specialists, LLC Clinical CurrentSince Jan 8, 1997 Accepting new patients
Alima B. Farooki MD PC Past Accepting new patients

Locations

1 Prospect St
Ste 57
Ridgewood, NJ 07450
Phone (201) 447-2242

1 Prospect St
Ste 5
Ridgewood, NJ 07450
Phone (201) 447-2242

1 Prospect St
Ste 47
Ridgewood, NJ 07450
Phone (201) 447-2242

1 Prospect St
#57
Ridgewood, NJ 07450
Phone (201) 447-2242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275666562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROSPECT ST",
            "address_2": "SUITES 5-7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504404",
            "telephone_number": "201-447-2242",
            "fax_number": "201-447-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT ST",
            "address_2": "SUITES 5-7",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504404",
            "telephone_number": "201-447-2242",
            "fax_number": "201-447-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUST",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.