Individual provider Active NPI

Carol J Dorfman, PH.D.

  • Psychologist
  • Englewood, NJ
National Provider Identifier
1598842494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone
(201) 569-4422
Fax
(201) 569-3550
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NJ Primary

Addresses

Primary practice location

155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532

Mailing address

155 N Dean St
3Rd Floor
Englewood, NJ 07631-2532
Phone (201) 569-4422

Other identifiers 2

IdentifierTypeStateIssuer
297018OtherNJMHN
2357794000OtherAMERIHEALTH/KEYSTONE/PC

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35S1003949NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carol J Dorfman, PH.D. Psychologist PastSince Jan 1, 1990 Accepting new patients
Advanced Medical Care Center, PC PastSince Mar 1, 2015 Accepting new patients
Craig W. Pearl, Psy.D., P.C. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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": "1598842494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312532",
            "telephone_number": "201-569-4422",
            "fax_number": "201-569-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N DEAN ST",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312532",
            "telephone_number": "201-569-4422",
            "fax_number": "201-569-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "297018",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/PC",
            "identifier": "2357794000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.