Active NPI
Pamela D Alkins-Guallab, PSY.D.
- Clinical Psychologist
- Scotch Plains, NJ
National Provider Identifier
1598056459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35S100450700
- Practice address
- 567 Park Ave
Suite101
Scotch Plains, NJ 07076-1754 - Phone
- (973) 322-3282
- Fax
- (908) 322-2517
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100450700 | NJ | Primary |
Addresses
Primary practice location
567 Park Ave
Suite101
Scotch Plains, NJ 07076-1754
Mailing address
PO Box 8056
Glen Ridge, NJ 07028-8056
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100450700 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Carla J. Cooke, LLC | 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 and National Provider Directory roles.
-
- Counseling Psychologist
- Scotch Plains, NJ
- NPI 1811336852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1598056459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8056",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070288056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 PARK AVE",
"address_2": "SUITE101",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761754",
"telephone_number": "973-322-3282",
"fax_number": "908-322-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKINS-GUALLAB",
"first_name": "PAMELA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100450700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.