Individual provider Active NPI

John A. Caliso, PHD

  • Clinical Psychologist
  • Ridgewood, NJ
National Provider Identifier
1609937846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2285 Issued in NJ
Practice address
10 Wilsey SQ
Suite 232
Ridgewood, NJ 07450-3792
Phone
(201) 447-4715
Fax
(201) 447-4715
NPI assigned
Dec 12, 2006
Sex
Male
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
Clinical Psychologist 103TC0700X 2285 NJ Primary

Addresses

Primary practice location

10 Wilsey SQ
Suite 232
Ridgewood, NJ 07450-3792

Mailing address

10 Wilsey SQ
Suite 232
Ridgewood, NJ 07450-3792
Phone (201) 447-4715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000488 NJ Practitioner - Clinical Psychologist 4284784091 Practice locations: Ramsey, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

444 N Central Ave
Ramsey, NJ 07446-1048
Phone (201) 447-4715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2285NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Debra a Turitz MSW, LCSW PastSince Feb 14, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609937846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILSEY SQ",
            "address_2": "SUITE 232",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503792",
            "telephone_number": "201-447-4715",
            "fax_number": "201-447-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILSEY SQ",
            "address_2": "SUITE 232",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503792",
            "telephone_number": "201-447-4715",
            "fax_number": "201-447-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALISO",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.