Marvin Leibowitz PH.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100088200 Issued in NJ

Legal business name

MARVIN LEIBOWITZ PH.D. LLC

Practice address

61 N Maple Ave
Suite 103
Ridgewood, NJ 07450-3255

Phone

(201) 445-6378

NPI assigned

Dec 21, 2012

Organization subpart

No

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

Authorized official

Name

Marvin Leibowitz, PH.D.

Title

Managing Partner

Phone

(201) 445-6378

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Joel Gordon, PH.D.

  • Clinical Neuropsychologist
  • Ridgwood, NJ
  • NPI 1124126404
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1578809448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "address_2": "SUITE 103",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255",
            "telephone_number": "201-445-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN LEIBOWITZ PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-445-6378",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100088200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marj Swain Bernstein LCSW LLC
• Barbara Markell, L.C.S.W.
• George Joseph Markowitz, MD
• Kendall Marquard
• Randy F Marrinan, MD
• Marvinleibowitz, PH.D., LLC
• Mary Youssef MD
• Karissa Masuicca
• Joseph P. Mathew, MD
• Susan Mathew, PMHNP

• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, 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 Dec 21, 2012; 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.