Colleen Duffy, APN, PMHCNS-BC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

26NJ00264200 Issued in NJ

Practice address

40 Eisenhower Dr
Paramus, NJ 07652-1404

Phone

(201) 291-0055

Fax

(201) 291-0888

NPI assigned

Feb 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Colleen Borchert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• American Day CD Centers, L.L.C.

  • Clinic/Center
  • Paramus, NJ
  • NPI 1184754160
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1346512209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MAPLE ST.",
            "address_2": "SUITE 401",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "973-909-4078",
            "fax_number": "908-363-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EISENHOWER DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521404",
            "telephone_number": "201-291-0055",
            "fax_number": "201-291-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Rte 17",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522809",
            "country_code": "US",
            "telephone_number": "201-445-1990",
            "fax_number": "201-445-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "APN, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NJ00264200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "BORCHERT",
            "prefix": "MRS.",
            "credential": "APN, PMHCNS-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Drew E. Tuckman, M.D., P.a.
• Carlea D M Dries, PSY.D., ABSNP
• DRPV, LLC
• DRX Paramus, LLC
• Ari Dubov, D.D.S.
• Eileen Duffy
• Kevin Duffy
• Laura Duffy, MA, LPC, LCADC
• Serge Dumay, MD
• Matthew Dunn

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.