Active NPI
Charlena Denise Sears, PSY.D.
- Clinical Psychologist
- Montclair, NJ
National Provider Identifier
1376788273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100282100
- Practice address
- 50 Church St
Suite 105
Montclair, NJ 07042-4441 - Phone
- (973) 744-8725
- Fax
- (973) 744-1967
- NPI assigned
- Dec 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100282100 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 10862 | NY |
Addresses
Primary practice location
50 Church St
Suite 105
Montclair, NJ 07042-4441
Mailing address
50 Church St
Suite 105
Montclair, NJ 07042-4441
Phone (973) 744-8725
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 |
|---|---|---|---|
| 35S100282100 | NJ | MD | Clinical Psychologist |
| 10862 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1376788273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CHURCH ST",
"address_2": "SUITE 105",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424441",
"telephone_number": "973-744-8725",
"fax_number": "973-744-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CHURCH ST",
"address_2": "SUITE 105",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424441",
"telephone_number": "973-744-8725",
"fax_number": "973-744-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "CHARLENA",
"middle_name": "DENISE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100282100",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "10862",
"primary": false
}
],
"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 Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.