Organization Active NPI

Carol J Dorfman, PH.D.

  • Psychologist
  • Englewood, NJ
National Provider Identifier
1457438343
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S1003949 Issued in NJ
Legal business name
CAROL J DORFMAN, PH.D.
Practice address
155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone
(201) 569-4422
Fax
(201) 569-3550
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Carol Dorfman, PH.D.NPI 1598842494
Title
Presidient
Phone
(201) 569-4422

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35S1003949 NJ Primary

Addresses

Primary practice location

155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532

Mailing address

155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone (201) 569-4422

Other identifiers 3

IdentifierTypeStateIssuer
2357794000OtherAMERIHEALTH/KEYSTONE/ PC
297018OtherMHN
P3112491OtherOXFORD

National Provider Directory

National Provider Directory

Locations

155 N Dean St
Fl 3
Englewood, NJ 07631
Phone (201) 569-4422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1457438343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312532",
            "telephone_number": "201-569-4422",
            "fax_number": "201-569-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312532",
            "telephone_number": "201-569-4422",
            "fax_number": "201-569-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL J DORFMAN, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDIENT",
        "authorized_official_telephone_number": "201-569-4422",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S1003949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/ PC",
            "identifier": "2357794000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "297018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3112491",
            "state": null
        }
    ],
    "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 Sep 2, 2009; 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.