Individual provider Active NPI

Christopher George Parigoris, PSY.D.

  • Clinical Psychologist
  • Mountain Lakes, NJ
National Provider Identifier
1528186293
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00436100 Issued in NJ
Practice address
420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1721
Phone
(862) 812-4881
NPI assigned
Mar 27, 2007
Last updated
Jul 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00436100 NJ Primary

Addresses

Primary practice location

420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1721

Mailing address

24 Beaver Brook LN
Denville, NJ 07834-1305
Phone (973) 664-1393

Other identifiers 2

IdentifierTypeStateIssuer
11715092OtherCAQH
1528186293OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1528186293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BEAVER BROOK LN",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341305",
            "telephone_number": "973-664-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461721",
            "telephone_number": "862-812-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIGORIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00436100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11715092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528186293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.