Roberta Rosen Fallig, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3269 Issued in NJ

Practice address

254 Mountain Ave # B
Suite 202
Hackettstown, NJ 07840-2407

Phone

(908) 979-1144

Fax

(908) 979-1068

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological Associates of North Jersey LLCGroup PAC ID 2264658418, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Psychological Associates of North Jersey LLC

  • Mental Health Counselor
  • Hackettstown, NJ
  • NPI 1396802682
  Medicare reassignment Care Compare group Authorized official
• Core Counseling of North Jersey, LLC

  • Clinical Social Worker
  • Englewood, NJ
  • NPI 1295371243
  NPD (past)
• M Mintz K Schneider R Morris Etal

  • Psychologist
  • Springfield, NJ
  • NPI 1043620487
  NPD (past)
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578640892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MOUNTAIN AVE # B",
            "address_2": "SUITE 202",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402407",
            "telephone_number": "908-979-1144",
            "fax_number": "908-979-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MOUNTAIN AVE # B",
            "address_2": "SUITE 202",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402407",
            "telephone_number": "908-979-1144",
            "fax_number": "908-979-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLIG",
        "first_name": "ROBERTA",
        "middle_name": "ROSEN",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherrielyn Escono-Quiambao, APN
• Donna Sara Etkins, LCSW
• Executive Spine Surgery
• Eyedox
• Ann Falbo, M.D.
• Family Chiropractic Works LLC
• Family Focused Foot & Ankle Inc
• Sarah Y Fan, M.D.
• Brian D Fanning Jr., MS, ACI, ATC
• Maged Farag, RPH

• Clinical Psychologist in Hackettstown, NJ
• Providers in Hackettstown, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.