Individual provider Active NPI

Michael Flancbaum, PSYD

  • Clinical Psychologist
  • East Brunswick, NJ
National Provider Identifier
1467836593
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5219 Issued in NJ
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

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
5219NJMDClinical Psychologist
020324NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cognitive Behavior Therapy CurrentSince Jan 10, 2021 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.

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.

Verify at the official NPI Registry.