Active NPI
Anjelica Fahey
- Psychologist
- Cresskill, NJ
National Provider Identifier
1497345201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 300 Knickerbocker Rd Ste 2300a
Cresskill, NJ 07626-1345 - Phone
- (201) 297-9170
- NPI assigned
- Jan 25, 2021
- Last updated
- Mar 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
300 Knickerbocker Rd Ste 2300a
Cresskill, NJ 07626-1345
Mailing address
93 Walnut St
Oakland, NJ 07436-2616
Phone (201) 280-1679
Other practice location 1
239 Madison Ave
Wyckoff, NJ 07481-1948
Phone (201) 280-1679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 2, 2026 through Apr 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1497345201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 WALNUT ST",
"city": "OAKLAND",
"state": "NJ",
"postal_code": "074362616",
"telephone_number": "201-280-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 KNICKERBOCKER RD STE 2300A",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076261345",
"telephone_number": "201-297-9170"
}
],
"practiceLocations": [
{
"address_1": "239 Madison Ave",
"address_purpose": "LOCATION",
"city": "Wyckoff",
"state": "NJ",
"postal_code": "074811948",
"country_code": "US",
"telephone_number": "201-280-1679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAHEY",
"first_name": "ANJELICA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-25",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cresskill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.