Active NPI
Colleen Duffy, APN, PMHCNS-BC
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Paramus, NJ
National Provider Identifier
1346512209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 26NJ00264200
- Practice address
- 40 Eisenhower Dr
Paramus, NJ 07652-1404 - Phone
- (201) 291-0055
- Fax
- (201) 291-0888
- NPI assigned
- Feb 7, 2012
- Last updated
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 26NJ00264200 | NJ | Primary |
Addresses
Primary practice location
40 Eisenhower Dr
Paramus, NJ 07652-1404
Mailing address
49 Maple St.
Suite 401
Summit, NJ 07901
Phone (973) 909-4078
Other practice location 1
140 N Rte 17
Paramus, NJ 07652-2809
Phone (201) 445-1990
Other names 1
- Mrs. Colleen Borchert
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 |
|---|---|---|---|
| 26NJ00264200 | NJ | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Day CD Centers, L.L.C. | 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, 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": "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"
}
]
}
Other providers in Paramus, NJ
Sources for this page
- 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.