Active NPI
Caridad R Moreno, PH.D.
- Psychologist
- Cedar Knolls, NJ
National Provider Identifier
1609926237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00336800
- Practice address
- 210 Malapardis Rd Ste 207
Cedar Knolls, NJ 07927-1121 - Phone
- (973) 539-9500
- NPI assigned
- Jan 12, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00336800 | NJ | Primary |
Addresses
Primary practice location
210 Malapardis Rd Ste 207
Cedar Knolls, NJ 07927-1121
Mailing address
210 Malapardis Rd Ste 207
Cedar Knolls, NJ 07927-1121
Phone (973) 539-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00336800 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRM Psychological Services, LLC | Psychologist | 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.
-
- Psychologist
- Hawthorne, NJ
- NPI 1982872735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1609926237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 MALAPARDIS RD STE 207",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079271121",
"telephone_number": "973-539-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MALAPARDIS RD STE 207",
"city": "CEDAR KNOLLS",
"state": "NJ",
"postal_code": "079271121",
"telephone_number": "973-539-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "CARIDAD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00336800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Knolls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.