Individual provider Active NPI

Allison Dorlen Pastor, PH.D.

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1407911159
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4282 Issued in NJ
Practice address
20 Nassau St
Suite 212
Princeton, NJ 08542-4509
Phone
(609) 462-4677
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015255 NY
Clinical Psychologist 103TC0700X 4282 NJ Primary

Addresses

Primary practice location

20 Nassau St
Suite 212
Princeton, NJ 08542-4509

Mailing address

20 Nassau St
Suite 212
Princeton, NJ 08542-4509
Phone (609) 462-4677

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4282NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1407911159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NASSAU ST",
            "address_2": "SUITE 212",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424509",
            "telephone_number": "609-462-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NASSAU ST",
            "address_2": "SUITE 212",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424509",
            "telephone_number": "609-462-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR",
        "first_name": "ALLISON",
        "middle_name": "DORLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015255",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.