Individual provider Active NPI

Alyssa Austern, PSY.D.

  • Psychologist
  • Chatham, NJ
National Provider Identifier
1437603818
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00569000 Issued in NJ
Practice address
1 Main St Ste 202
Chatham, NJ 07928-2426
Phone
(908) 827-1771
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00569000 NJ Primary

Addresses

Primary practice location

1 Main St Ste 202
Chatham, NJ 07928-2426

Mailing address

1 Main St Ste 202
Chatham, NJ 07928-2426

Other practice location 1

425 Eagle Rock Ave
Suite 103
Roseland, NJ 07068-1717
Phone (973) 226-1505 ext. 25

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

State licenses

LicenseStateTypeSpecialty
35SI00569000NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1437603818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 202",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST STE 202",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282426",
            "telephone_number": "908-827-1771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Eagle Rock Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Roseland",
            "state": "NJ",
            "postal_code": "070681717",
            "country_code": "US",
            "telephone_number": "973-226-1505 x25",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTERN",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00569000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.