Sheila Sidney Bender, PHD
Individual provider Active NPI Psychologist · Florham Park, NJ
NPI 1407970692 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407970692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- SIO1211 (NJ)
- Practice address
- 123 Columbia Tpke
Suite 202 B
Florham Park, NJ 07932-2117 - Phone
- (973) 765-0749
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 27, 2012 through Feb 27, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SIO1211 | NJ | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SIO1211 | NJ | Yes |
Addresses
Primary practice location
123 Columbia Tpke
Suite 202 B
Florham Park, NJ 07932-2117
Mailing address
123 Columbia Tpke
Suite 202 B
Florham Park, NJ 07932-2117
Phone (973) 765-0749
Other providers in Florham Park, NJ
- Nancy Beckerman
- Scott Beeman
- Mojgan Behbakht
- Jaime Behringer
- Ben K Beitin
- Daphne Berkovits
- Joan Goldin Berkowitz
- Harold S. Bernstein
- Robin L. Bernstein
- Nicholas A Bertha
All providers in Florham Park, NJ · Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.