Active NPI
Michael Steinhardt, PSY.D.
- Clinical Neuropsychologist
- Montvale, NJ
National Provider Identifier
1326250663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 35SI00388300
- Practice address
- 221 W Grand Ave
Suite 103
Montvale, NJ 07645-1729 - Phone
- (201) 696-3838
- Fax
- (845) 503-2214
- NPI assigned
- May 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35SI00388300 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 35SI00388300 | NJ |
Addresses
Primary practice location
221 W Grand Ave
Suite 103
Montvale, NJ 07645-1729
Mailing address
221 W Grand Ave
Suite 103
Montvale, NJ 07645-1729
Phone (201) 696-3838
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 |
|---|---|---|---|
| 35SI00388300 | NJ | MD | Clinical Neuropsychologist |
| 013270 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurocognitive Associates, PC | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Neuropsychologist
- Montvale, NJ
- NPI 1700108164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1326250663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W GRAND AVE",
"address_2": "SUITE 103",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451729",
"telephone_number": "201-696-3838",
"fax_number": "845-503-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W GRAND AVE",
"address_2": "SUITE 103",
"city": "MONTVALE",
"state": "NJ",
"postal_code": "076451729",
"telephone_number": "201-696-3838",
"fax_number": "845-503-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINHARDT",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35SI00388300",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00388300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montvale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.