Anastasia Raisa Pytal, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5288 Issued in NJ

Practice address

39 East Main Street, 2ND Floor
Little Falls, NJ 07424-2206

Phone

(973) 454-5569

Fax

(856) 423-0823

NPI assigned

Mar 1, 2014

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northern New Jersey Counseling Center LLC

  • Psychologist
  • Little Falls, NJ
  • NPI 1396152781
  Authorized official Same address or phone

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1386069219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W COHAWKIN RD STE C",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201145",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 EAST MAIN STREET, 2ND FLOOR",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074242206",
            "telephone_number": "973-454-5569",
            "fax_number": "856-423-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYTAL",
        "first_name": "ANASTASIA",
        "middle_name": "RAISA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004880",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "708895",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8355061",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "5288",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1000880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubia Nicole Posas
• Princeton Plastic Surgeons, PC
• Jo Ann Gonzales Puglisi, PT
• Pure Health RX Corp (ElixiRx Apothecary)
• Pure Health RX Corp
• Prakash Ramani, D.C
• Joseph Meshach Gemarino Ramirez, PT, DPT
• Mary Jane T. Ramos, P.T.
• Diane Marie Raum
• Camila Ravelo

• Psychologist in Little Falls, NJ
• Providers in Little Falls, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.