Judith Clyman

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100339600 Issued in NJ

Practice address

605 Valley Rd
Montclair, NJ 07043-1459

Phone

(973) 509-1848

Fax

(973) 509-1807

NPI assigned

Jan 21, 2008

Last updated

Jan 21, 2008By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1447436456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431459",
            "telephone_number": "973-509-1848",
            "fax_number": "973-509-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 VALLEY RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431459",
            "telephone_number": "973-509-1848",
            "fax_number": "973-509-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYMAN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100339600",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100339600",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NJ",
            "license": "35S100339600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Mountain Acupuncture LLC (none)
• Kylie Cleesattel, LCSW
• Roderick John Clemente, M.D.
• Clinical Office for Progress and Empowerment
• Stuart Clutterbuck, LPC
• Denise K Codner
• Leslie Cohen, LCSW
• Zaza Cohen
• Janice I Cohn, DSW
• Abby Miller Colen, LCSW

• Clinical Psychologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.