Organization Active NPI

Shale Psychology, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saddle River, NJ
National Provider Identifier
1487277752
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHALE PSYCHOLOGY, LLC
Practice address
82 E Allendale Rd Ste 2B
Saddle River, NJ 07458-3057
Phone
(201) 477-8178
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Allison Shale Deutsch, PSY.D.NPI 1982956132
Title
Psychologist
Phone
(201) 477-8178

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

82 E Allendale Rd Ste 2B
Saddle River, NJ 07458-3057

Mailing address

574 Wayne Dr
River Vale, NJ 07675-6160
Phone (201) 370-1570

Other identifiers 1

IdentifierTypeStateIssuer
1982956132OtherANDRUS

National Provider Directory

National Provider Directory

Locations

82 E Allendale Rd
Ste 2B
Saddle River, NJ 07458
Phone (201) 477-8178

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": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1487277752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 WAYNE DR",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756160",
            "telephone_number": "201-370-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 E ALLENDALE RD STE 2B",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074583057",
            "telephone_number": "201-477-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "SHALE DEUTSCH",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "201-477-8178",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDRUS",
            "identifier": "1982956132",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.