Amanda P Marshall, PH.D., NCSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00715000 Issued in NJ

Practice address

513 W Mount Pleasant Ave Ste 212
Livingston, NJ 07039-1721

Phone

(201) 889-9292

NPI assigned

Aug 21, 2023

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1447034459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SURREY DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705221",
            "telephone_number": "201-889-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W MOUNT PLEASANT AVE STE 212",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391721",
            "telephone_number": "201-889-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AMANDA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00715000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar A Marcilla, M.D.
• Marilyn McArthur MD PA
• Joseph Marino
• Danna Markson, LCSW
• Maron and Rodrigues Medical Group
• Alex Marshvassallo
• Randy F Marti, MAED, MSOTR
• Cassidy Martin, DNP
• Faith Rose Martin, MD
• Alan Martinez, MD

• Psychologist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.