Laura Tahir, PH.D.
Individual provider Active NPI Clinical Psychologist · Allentown, NJ
NPI 1508005935 · NPPES record last updated Jul 6, 2009
Key facts
- NPI
- 1508005935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3065 (NJ)
- Practice address
- 3 S Main St # 694
Allentown, NJ 08501-1683 - Phone
- (609) 443-3828
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3 S Main St
Suite 694
Allentown, NJ 08501-1683
Phone (609) 443-3828
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000302 | NJ | Practitioner - Clinical Psychologist | 4880650985 | Reassigns benefits to 1 organization |
| I20180206000059 | NY | Practitioner - Clinical Psychologist | 4880650985 | Practice locations: New York, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3065 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Reminiscence & Psychotherapy, PC | Current |
Accepting new patients | |
| Guardian Eldercare PC | Past | Accepting new patients |
Locations
30 Broad St
Ste 1443
New York, NY 10004
Phone (917) 273-4544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3065 | NJ | Yes |
Addresses
Primary practice location
3 S Main St # 694
Allentown, NJ 08501-1683
Mailing address
41 Geraldine Rd
East Windsor, NJ 08520-2631
Phone (609) 443-3828
Other providers in Allentown, NJ
- Inna Shneider
- Chester Sigafoos
- Lauren Emerson Simicich
- Scott Spreat
- Sure Home Care of NJ LLC
- Jamilla N Thompson
- Rebbeca Turnbull
- Upper Freehold Regional School District
- Upper Freehold Regional Schools
- Kenneth Harold Vaughan
All providers in Allentown, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.