Organization Active NPI

Staffin & Talcoff Associates, Inc

  • Clinical Psychologist
  • Teaneck, NJ
National Provider Identifier
1366599573
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI 03092 Issued in NJ
Legal business name
STAFFIN & TALCOFF ASSOCIATES, INC
Practice address
304 Johnson Ave
Teaneck, NJ 07666-3151
Phone
(201) 836-4055
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. Robert Staffin, PSY.D.NPI 1679594071
Title
Co-President
Phone
(201) 836-4055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X SI 03092 NJ Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC00086400 NJ

Addresses

Primary practice location

304 Johnson Ave
Teaneck, NJ 07666-3151

Mailing address

304 Johnson Ave
Teaneck, NJ 07666-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060331000446 NJ Part B Supplier - Clinic/Group Practice 0446268460 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1366599573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JOHNSON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JOHNSON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663151",
            "telephone_number": "201-836-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFIN & TALCOFF ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "STAFFIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "201-836-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI 03092",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00086400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.