Individual provider Active NPI

Loretto A Brickfield, PH.D.

  • Clinical Psychologist
  • Fair Lawn, NJ
National Provider Identifier
1528190048
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00295400 Issued in NJ
Practice address
18-01 Pollitt Dr
Fair Lawn, NJ 07410-2813
Phone
(201) 478-4200
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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 35SI00295400 NJ Primary

Addresses

Primary practice location

18-01 Pollitt Dr
Fair Lawn, NJ 07410-2813

Mailing address

18-01 Pollitt Dr
Fair Lawn, NJ 07410-2813
Phone (201) 478-4200

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
I20040510000106 NJ Practitioner - Clinical Psychologist 4981693553 Reassigns benefits to 1 organization
Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
VDB Enterprises LLCGroup PAC ID 1658421649, 3 clinicians

Practice addresses (Care Compare)

18 -01 Pollitt Dr
Suite 1a
Fair Lawn, NJ 07410-2815
Phone (201) 478-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VDB Enterprises, LLC CurrentSince Nov 14, 2009 Accepting new patients

Locations

18-01 Pollitt Dr
Ste 1A
Fair Lawn, NJ 07410
Phone (201) 478-4200

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1528190048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-478-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-478-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKFIELD",
        "first_name": "LORETTO",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00295400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.