Active NPI
Leore J Faber, PSYD
- Clinical Psychologist
- Montclair, NJ
National Provider Identifier
1306352356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022393
- Practice address
- 51 Upper Montclair PLZ Ste 2
Montclair, NJ 07043-1340 - Phone
- (551) 206-2888
- NPI assigned
- Dec 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022393 | NY | Primary |
Addresses
Primary practice location
51 Upper Montclair PLZ Ste 2
Montclair, NJ 07043-1340
Mailing address
51 Upper Montclair PLZ
Montclair, NJ 07043-1343
Phone (551) 206-2888
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 |
|---|---|---|---|
| 022393 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1306352356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 UPPER MONTCLAIR PLZ",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431343",
"telephone_number": "551-206-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 UPPER MONTCLAIR PLZ STE 2",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431340",
"telephone_number": "551-206-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABER",
"first_name": "LEORE",
"middle_name": "J",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2020-09-08",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.