Individual provider Active NPI

Osna L Haller, PHD

  • Psychologist
  • Teaneck, NJ
National Provider Identifier
1467521500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2093 Issued in NJ
Practice address
265 Cedar LN
Suite 2
Teaneck, NJ 07666-3444
Phone
(201) 836-7419
Fax
(201) 692-3658
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2093 NJ Primary
Psychologist 103T00000X 7767 NY

Addresses

Primary practice location

265 Cedar LN
Suite 2
Teaneck, NJ 07666-3444

Mailing address

265 Cedar LN
Suite 2
Teaneck, NJ 07666-3444
Phone (201) 836-7419

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050616000017 NJ Practitioner - Clinical Psychologist 5698719037 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

265 Cedar Lane
Suite 2
Teaneck, NJ 07666-3444

265 Cedar LN
Teaneck, NJ 07666-3444
Phone (201) 836-3759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2093NJMDPsychologist
7767NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467521500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CEDAR LN",
            "address_2": "SUITE 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663444",
            "telephone_number": "201-836-7419",
            "fax_number": "201-692-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CEDAR LN",
            "address_2": "SUITE 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663444",
            "telephone_number": "201-836-7419",
            "fax_number": "201-692-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "OSNA",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2093",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.