Advanced Neurobehavioral Diagnostics

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

35S1004238 Issued in NJ

Legal business name

ADVANCED NEUROBEHAVIORAL DIAGNOSTICS

Practice address

172 Broadway
Suite105
Woodcliff Lake, NJ 07677-8077

Phone

(201) 476-0074

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Sharma, PH.D.NPI 1235343468

Title

President

Phone

(201) 476-0074

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Sharma, PH.D.

  • Specialist
  • Woodcliff Lake, NJ
  • NPI 1235343468
  Authorized official Same address or phone

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1326406406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 BROADWAY",
            "address_2": "SUITE105",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 BROADWAY",
            "address_2": "SUITE105",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778077",
            "telephone_number": "201-476-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROBEHAVIORAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-476-0074",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "35S1004238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ABA Magical Moments NJ LLC
• Dina Abdelmassih
• Travis Joseph Abel, O.D.
• Tamsen Adams-Gallagher, LCSW
• Carol L. Adelson, RD, MS, AADP
• Arvind Kumar Aggarwal, D.O.
• Al I/Woodcliff Lake Senior Housing, LLC (Sunrise of Woodcliff Lake)
• Leighann Albanese, LPC
• Alexander Biener MD PA
• Salvatore Ali, D.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.