Active NPI
Dryden Barclay Watner, PHD
- Clinical Psychologist
- Red Bank, NJ
National Provider Identifier
1427112879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5150
- Practice address
- 216 Maple Ave
Red Bank, NJ 07701-1731 - Phone
- (929) 352-5037
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5150 | NJ | Primary |
Addresses
Primary practice location
216 Maple Ave
Red Bank, NJ 07701-1731
Mailing address
216 Maple Ave
Red Bank, NJ 07701-1731
Phone (929) 352-5037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355940 | Other | NY | AGENCY MEDICAID # |
| 1285628552 | Other | NY | AGENCY NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5150 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1427112879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011731",
"telephone_number": "929-352-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MAPLE AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011731",
"telephone_number": "929-352-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATNER",
"first_name": "DRYDEN",
"middle_name": "BARCLAY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "5150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID #",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI",
"identifier": "1285628552",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.