Active NPI
Stephen Charles Garbarini, PSY.D.
- Clinical Psychologist
- Ridgewood, NJ
National Provider Identifier
1306898150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100228900
- Practice address
- 530 N Maple Ave
Ridgewood, NJ 07450-1610 - Phone
- (201) 445-2620
- Fax
- (201) 794-7357
- NPI assigned
- May 17, 2006
- Sex
- Male
- 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 | 35S100228900 | NJ | Primary |
Addresses
Primary practice location
530 N Maple Ave
Ridgewood, NJ 07450-1610
Mailing address
530 N Maple Ave
Ridgewood, NJ 07450-1610
Phone (201) 445-2620
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6180199 | Other | NJ | UNITED BEHAVIORAL HEALTH |
| 0007824436 | Other | NJ | AETNA INS CO |
| 68002566 | Other | NH | GHI |
| IS131 | Other | NJ | OXFORD |
| 10629 | Other | NJ | MASTER CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100228900 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306898150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501610",
"telephone_number": "201-445-2620",
"fax_number": "201-794-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074501610",
"telephone_number": "201-445-2620",
"fax_number": "201-794-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBARINI",
"first_name": "STEPHEN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100228900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6180199",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS CO",
"identifier": "0007824436",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "68002566",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "IS131",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER CARE",
"identifier": "10629",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NJ
Sources for this page
- 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; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.