Individual provider Active NPI

Christina Marie Catanzaro, PSYD

  • Clinical Neuropsychologist
  • New Brunswick, NJ
National Provider Identifier
1336629633
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
5946 Issued in NJ
Practice address
222 Easton Ave
New Brunswick, NJ 08901-1750
Phone
(732) 470-0860
NPI assigned
Aug 16, 2018
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 5946 NJ Primary
Clinical Psychologist 103TC0700X 35SI00594600 NJ

Addresses

Primary practice location

222 Easton Ave
New Brunswick, NJ 08901-1750

Mailing address

222 Easton Ave
New Brunswick, NJ 08901-1750
Phone (732) 470-0860

Other practice location 1

99 Beauvoir Ave Fl 5
Summit, NJ 07901-3533
Phone (908) 522-4990

Other practice location 2

111 Madison Ave Ste 100
Morristown, NJ 07960-6083
Phone (908) 522-4990

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
I20181015000611 NJ Practitioner - Clinical Psychologist 5294087516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5946NJMDClinical Neuropsychologist
35SI00594600NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group CurrentSince Oct 28, 2023 Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

111 Madison Ave
Morristown, NJ 07960
Phone (201) 943-5991

111 Madison Ave
Ste 100
Morristown, NJ 07960
Phone (862) 242-1922

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

99 Beauvoir Ave
Fl 5
Summit, NJ 07901
Phone (908) 522-2829

Interoperability endpoints

  • Direct secure messaging: ccatanzaro503472@direct.ahsys.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1336629633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011750",
            "telephone_number": "732-470-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011750",
            "telephone_number": "732-470-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Beauvoir Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079013533",
            "country_code": "US",
            "telephone_number": "908-522-4990",
            "fax_number": "908-522-6482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Madison Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606083",
            "country_code": "US",
            "telephone_number": "908-522-4990",
            "fax_number": "908-522-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATANZARO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "5946",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00594600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.