Individual provider Active NPI

Judith Sharon Halle, PHD

  • Clinical Psychologist
  • Waldwick, NJ
National Provider Identifier
1396222550
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100500800 Issued in NJ
Practice address
71 Franklin Tpke Ste 1-2
Waldwick, NJ 07463-1800
Phone
(201) 739-4601
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 011575 NY
Clinical Psychologist 103TC0700X 35S100500800 NJ Primary

Addresses

Primary practice location

71 Franklin Tpke Ste 1-2
Waldwick, NJ 07463-1800

Mailing address

442 Upper Blvd
Ridgewood, NJ 07450-1504
Phone (201) 739-4601

Other practice location 1

341 E 79th St Apt 306
New York, NY 10075-1039
Phone (201) 739-4601

Other names 1

  • Dr. Judith Sharon Levy Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S100500800NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1396222550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 UPPER BLVD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501504",
            "telephone_number": "201-739-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 FRANKLIN TPKE STE 1-2",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631800",
            "telephone_number": "201-739-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 E 79th St Apt 306",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751039",
            "country_code": "US",
            "telephone_number": "201-739-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLE",
        "first_name": "JUDITH",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011575",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100500800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "LEVY",
            "middle_name": "SHARON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.