Active NPI
Carol S Marcus, PHD
- Psychologist
- Montclair, NJ
National Provider Identifier
1356337281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 355100395700
- Practice address
- 45 Oakwood Ave
Montclair, NJ 07043-1916 - Phone
- (973) 509-3181
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 355100395700 | NJ | Primary |
Addresses
Primary practice location
45 Oakwood Ave
Montclair, NJ 07043-1916
Mailing address
45 Oakwood Ave
Montclair, NJ 07043-1916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355100395700 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356337281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 OAKWOOD AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 OAKWOOD AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431916",
"telephone_number": "973-509-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "CAROL",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "355100395700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.