Individual provider Active NPI

David Moshe Velder, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Springfield, NJ
National Provider Identifier
1609989987
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
35SI00238200 Issued in NJ
Practice address
28 Millburn Ave
Springfield, NJ 07081-1039
Phone
(973) 258-1122
Fax
(973) 243-1705
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00238200 NJ
Clinical Psychologist 103TC0700X 0114371 NY
Clinical Child & Adolescent Psychologist 103TC2200X 35SI00238200 NJ Primary
School Psychologist 103TS0200X 00120041 NJ

Addresses

Primary practice location

28 Millburn Ave
Springfield, NJ 07081-1039

Mailing address

28 Millburn Ave
Springfield, NJ 07081-1039
Phone (973) 258-1122

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00238200NJMDPsychologist
0114371NYMDClinical Psychologist
00120041NJMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609989987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811039",
            "telephone_number": "973-258-1122",
            "fax_number": "973-243-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811039",
            "telephone_number": "973-258-1122",
            "fax_number": "973-243-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDER",
        "first_name": "DAVID",
        "middle_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00238200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0114371",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35SI00238200",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "00120041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.