Individual provider Active NPI

Nancy Marie Gitin, PH.D.

  • Psychologist
  • Haskell, NJ
National Provider Identifier
1497845655
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100378000 Issued in NJ
Practice address
1433 Ringwood Ave
Haskell, NJ 07420-1520
Phone
(201) 787-5124
NPI assigned
Oct 16, 2006
Last updated
Aug 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100378000 NJ Primary

Addresses

Primary practice location

1433 Ringwood Ave
Haskell, NJ 07420-1520

Mailing address

28 Greenview Dr
Pequannock, NJ 07440-1714
Phone (201) 787-5124

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526001010 NJ Practitioner - Clinical Psychologist 6204878457 Reassigns benefits to 1 organization
Practice locations: Haskell, NJ; Pompton Plains, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1433 Ringwood Ave
Haskell, NJ 07420-1520
Phone (973) 839-2119

28 Greenview Dr
Pequannock, NJ 07440-1714

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100378000NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC CurrentSince Dec 1, 2019 Accepting new patients
Crossroads Psychological Services CurrentSince Oct 6, 2024 Accepting new patients
Crossroads Psychological Services CurrentSince Jan 17, 2021 Accepting new patients
Guardian Eldercare PC Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

1433 Ringwood Ave
Haskell, NJ 07420
Phone (201) 647-8035

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1497845655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GREENVIEW DR",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074401714",
            "telephone_number": "201-787-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 RINGWOOD AVE",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201520",
            "telephone_number": "201-787-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITIN",
        "first_name": "NANCY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100378000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haskell, NJ

Sources for this page

Verify at the official NPI Registry.