Doppler Psychology Services at Home P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DOPPLER PSYCHOLOGY SERVICES AT HOME P.C.

Practice address

100 Park Ave PH 7C
Fort Lee, NJ 07024-3808

Phone

(516) 810-1290

NPI assigned

Aug 6, 2020

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manju Pradhan, PHD

Title

President

Phone

(718) 207-4088

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1497365118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE PH 7C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243808",
            "telephone_number": "516-810-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE PH 7C",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243808",
            "telephone_number": "516-810-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOPPLER PSYCHOLOGY SERVICES AT HOME P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "MANJU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-207-4088",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.