Active NPI
Michael Flancbaum, PSYD
- Clinical Psychologist
- East Brunswick, NJ
National Provider Identifier
1467836593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5219
- Practice address
- 2 Tower Center Blvd
Suite 1943
East Brunswick, NJ 08816-1100 - Phone
- (732) 867-8427
- NPI assigned
- Jul 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5219 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 020324 | NY |
Addresses
Primary practice location
2 Tower Center Blvd
Suite 1943
East Brunswick, NJ 08816-1100
Mailing address
131 Benner St
Highland Park, NJ 08904-2206
Phone (201) 696-0655
Other names 1
- Dr. Meir Flancbaum
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5219 | NJ | MD | Clinical Psychologist |
| 020324 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Cognitive Behavior Therapy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Brunswick, NJ
- NPI 1659969582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1467836593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BENNER ST",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042206",
"telephone_number": "201-696-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TOWER CENTER BLVD",
"address_2": "SUITE 1943",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161100",
"telephone_number": "732-867-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANCBAUM",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-18",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "5219",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEIR",
"last_name": "FLANCBAUM",
"prefix": "DR.",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.