Active NPI
Nicole Garcia, PH.D.
- Clinical Psychologist
- Montclair, NJ
National Provider Identifier
1457375255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015232
- Practice address
- 460 Bloomfield Ave
Suite 307
Montclair, NJ 07042-3582 - Phone
- (917) 723-9986
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 015232 | NY | Primary |
Addresses
Primary practice location
460 Bloomfield Ave
Suite 307
Montclair, NJ 07042-3582
Mailing address
168 Abbe LN
Clifton, NJ 07013-1581
Phone (917) 723-9986
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015232 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1457375255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 ABBE LN",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131581",
"telephone_number": "917-723-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BLOOMFIELD AVE",
"address_2": "SUITE 307",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423582",
"telephone_number": "917-723-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.