Carl W Ziesing, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

35SI00440900 Issued in NJ

Practice address

659 Eagle Rock Ave
Suite 4
West Orange, NJ 07052-2138

Phone

(201) 321-0347

Fax

(302) 422-8697

NPI assigned

Mar 7, 2007

Last updated

Nov 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Keith Golin PHD LLCGroup PAC ID 6608879226, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Keith Golin PHD LLC

  dba Keith Golin PhD

  • Clinical Psychologist
  • West Orange, NJ
  • NPI 1487660213
  Medicare reassignment Care Compare group NPD
• Keith Golin PHD LLC

  • Clinical Psychologist
  • Livingston, NJ
  • NPI 1548561053
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1366572174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 EAGLE ROCK AVE",
            "address_2": "SUITE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522138",
            "telephone_number": "888-284-2034",
            "fax_number": "302-422-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 EAGLE ROCK AVE",
            "address_2": "SUITE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522138",
            "telephone_number": "201-321-0347",
            "fax_number": "302-422-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIESING",
        "first_name": "CARL",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00440900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Zavala
• Gillian Ann Zeldin, M.D.
• Michelle Klein Zeleny, PT, DPT
• Juliana Siqueira Zielcke
• Karen Sue Ziemke, M.D.
• Hannah Zilka, PT, DPT
• Zma Rehabilitation Services LLC
• Elzbieta Zoldak, DPT
• Matthew Howard Zornitzer, MD
• Roseanna Boylan Zoubek, LCSW

• Clinical Neuropsychologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.