Active NPI
Myra E Klein, ED.D.
- Psychologist
- Highland Park, NJ
National Provider Identifier
1407078041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100252000
- Practice address
- 8 N 2ND Ave
Highland Park, NJ 08904-2419 - Phone
- (732) 828-8782
- NPI assigned
- May 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100252000 | NJ | Primary |
Addresses
Primary practice location
8 N 2ND Ave
Highland Park, NJ 08904-2419
Mailing address
8 N 2ND Ave
Highland Park, NJ 08904-2419
Phone (732) 828-8782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 5, 2014 through Jun 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100252000 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1407078041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 N 2ND AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042419",
"telephone_number": "732-828-8782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 N 2ND AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042419",
"telephone_number": "732-828-8782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "MYRA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100252000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.