NPIMap

Organization Active NPI

Doppler Psychology Services at Home PC

  • Cognitive & Behavioral Psychologist
  • Fort Lee, NJ
National Provider Identifier
1396338364
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
DOPPLER PSYCHOLOGY SERVICES AT HOME PC
Practice address
100 Park Ave PH 7C
Fort Lee, NJ 07024-3808
Phone
(516) 810-1290
NPI assigned
Feb 19, 2021
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Manju Pradhan, PHDNPI 1720122120
Title
President
Phone
(929) 352-0362

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Adult Development & Aging Psychologist 103TA0700X NU
Cognitive & Behavioral Psychologist 103TB0200X NU Primary
Group Psychotherapy Psychologist 103TP2701X NU

Addresses

Primary practice location

100 Park Ave PH 7C
Fort Lee, NJ 07024-3808

Mailing address

100 Park Ave PH 7C
Fort Lee, NJ 07024-3808
Phone (516) 810-1290

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL na Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510000405 NY Part B Supplier - Clinic/Group Practice 2062821713 Receives reassigned benefits from 18 practitioners
Practice locations: Pomona, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1396338364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE PH 7C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243808",
            "telephone_number": "516-810-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE PH 7C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243808",
            "telephone_number": "516-810-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOPPLER PSYCHOLOGY SERVICES AT HOME PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "MANJU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-352-0362",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "na",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "100 Park Ave Ph 7C",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070243808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.