Reshma Stafford, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100589100 Issued in NJ

Practice address

20 Nassau St Ste 511
Princeton, NJ 08542-4505

Phone

(732) 440-8011

Fax

(732) 527-3099

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1558894501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NEWPORT DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502224",
            "telephone_number": "732-841-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NASSAU ST STE 511",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424505",
            "telephone_number": "732-440-8011",
            "fax_number": "732-527-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Floral Vale Blvd",
            "address_purpose": "LOCATION",
            "city": "Yardley",
            "state": "PA",
            "postal_code": "190675512",
            "country_code": "US",
            "telephone_number": "215-497-0240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "RESHMA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100589100",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS018256",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100589100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Physical Therapy Institute,PA (Sports Physical Therapy Institute Princeton)
• Sri Health L L C
• Geetha Srinivasan, M.D.
• SSS Physical Medicine & Rehabilitation SVCS, LLC
• Berothy St. Jour
• Richard C. Staller, DDS
• Christopher Stanley
• Lorna Stanley, M.D.
• John F Stanoch, DPM
• Ritamarie Stapleton, LSW

• Clinical Psychologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.