Individual provider Active NPI

Catherine A Liebhauser, M.D.

  • Psychiatry Physician
  • Montclair, NJ
National Provider Identifier
1497782775
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA05676000 Issued in NJ
Practice address
24 Portland PL
Montclair, NJ 07042-2822
Phone
(973) 746-7712
Fax
(201) 462-3847
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA05676000 NJ Primary

Addresses

Primary practice location

24 Portland PL
Montclair, NJ 07042-2822

Mailing address

10 Crestmont Rd Apt 6R
Montclair, NJ 07042-1936
Phone (973) 746-7712

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cliebmontclair@aol.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000659 NJ Practitioner - Psychiatry 6002818069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Portland PL
Montclair, NJ 07042-2822
Phone (973) 746-7712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Catherine a Liebhauser MD LLC Psychiatry CurrentSince Apr 5, 2011 Accepting new patients

Locations

411 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 239-3222

24 Portland Pl
Montclair, NJ 07042
Phone (973) 746-2250

85 Park St
Montclair, NJ 07042
Phone (973) 744-8631

311 Claremont Ave
Ste 1B
Montclair, NJ 07042
Phone (973) 744-8631

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1497782775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRESTMONT RD APT 6R",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421936",
            "telephone_number": "973-746-7712",
            "fax_number": "012-465-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PORTLAND PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422822",
            "telephone_number": "973-746-7712",
            "fax_number": "201-462-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBHAUSER",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA05676000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cliebmontclair@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Portland Pl",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070422822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.