Individual provider Active NPI

Alexander Philip Franchino, PSYD

  • Professional Counselor
  • Fairfield, NJ
National Provider Identifier
1548420219
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00104800 Issued in NJ
Practice address
59 Glen Ave
Fairfield, NJ 07004-2634
Phone
(973) 256-2080
Fax
(973) 256-2080
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00104800 NJ Primary

Addresses

Primary practice location

59 Glen Ave
Fairfield, NJ 07004-2634

Mailing address

59 Glen Ave
Fairfield, NJ 07004-2634
Phone (973) 256-2080

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
I20260622001261 NJ Practitioner - Mental Health Counselor 7113490285 Practice locations: Fairfield, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Glen Ave
Fairfield, NJ 07004-2634
Phone (973) 256-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00104800NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1548420219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GLEN AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042634",
            "telephone_number": "973-256-2080",
            "fax_number": "973-256-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 GLEN AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042634",
            "telephone_number": "973-256-2080",
            "fax_number": "973-256-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCHINO",
        "first_name": "ALEXANDER",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00104800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.