Organization Active NPI

Vicki Barnett Psy D PC

  • Psychoanalyst
  • Englewood, NJ
National Provider Identifier
1447463971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
35S100321100 Issued in NJ
Legal business name
VICKI BARNETT PSY D PC
Practice address
288 Jones Rd
Englewood, NJ 07631-4411
Phone
(917) 853-7064
Fax
(718) 302-3835
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vicki Barnett, PHDNPI 1972720191
Title
President
Phone
(917) 853-7064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 35S100321100 NJ Primary

Addresses

Primary practice location

288 Jones Rd
Englewood, NJ 07631-4411

Mailing address

288 Jones Rd
Englewood, NJ 07631-4411
Phone (917) 853-7064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060126000583 NJ Part B Supplier - Clinic/Group Practice 4183645575 Receives reassigned benefits from 28 practitioners
Practice locations: Guttenberg, NJ; Union City, NJ; North Bergen, NJ; Newark, NJ; Morristown, NJ; Jersey City, NJ; Hoboken, NJ; Englewood, NJ

National Provider Directory

National Provider Directory

Locations

1 Madison Ave
Morristown, NJ 07960
Phone (973) 285-2055

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447463971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 JONES RD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314411",
            "telephone_number": "917-853-7064",
            "fax_number": "718-302-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 JONES RD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314411",
            "telephone_number": "917-853-7064",
            "fax_number": "718-302-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI BARNETT PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-853-7064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "35S100321100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.