Active NPI
Peter J Economou, PHD
- Psychologist
- Hoboken, NJ
National Provider Identifier
1578883146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 450 7TH St.
LL5
Hoboken, NJ 07030 - Phone
- (866) 369-1090
- Fax
- (866) 369-2140
- NPI assigned
- Jun 7, 2010
- Last updated
- Jun 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37PC00408200 | NJ | |
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
450 7TH St.
LL5
Hoboken, NJ 07030
Mailing address
450 7TH St.
LL5
Hoboken, NJ 07030
Phone (866) 369-1090
Other practice location 1
11 Dundar Rd.
207
Springfield, NJ 07081
Phone (866) 369-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00408200 | NJ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Wellness Institute | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Hoboken, NJ
- NPI 1023522588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1578883146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 7TH ST.",
"address_2": "LL5",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "866-369-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 7TH ST.",
"address_2": "LL5",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "866-369-1090",
"fax_number": "866-369-2140"
}
],
"practiceLocations": [
{
"address_1": "11 Dundar Rd.",
"address_2": "207",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "NJ",
"postal_code": "07081",
"country_code": "US",
"telephone_number": "866-369-1090",
"fax_number": "866-360-2140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECONOMOU",
"first_name": "PETER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-07",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC00408200",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.