Organization Active NPI

Marvinleibowitz, PH.D., LLC

  • Clinical Psychologist
  • Ridgewood, NJ
National Provider Identifier
1619297660
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100088200 Issued in NJ
Legal business name
MARVINLEIBOWITZ, PH.D., LLC
Practice address
61 N Maple Ave
101
Ridgewood, NJ 07450-3255
Phone
(201) 445-6378
Fax
(201) 445-3300
NPI assigned
Jun 1, 2010
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Marvin Leibowitz, PH.D.
Title
General Partner
Phone
(201) 445-6378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100088200 NJ Primary

Addresses

Primary practice location

61 N Maple Ave
101
Ridgewood, NJ 07450-3255

Mailing address

61 N Maple Ave
101
Ridgewood, NJ 07450-3255
Phone (201) 445-6378

National Provider Directory

National Provider Directory

Locations

61 N Maple Ave
Ste 101
Ridgewood, NJ 07450
Phone (201) 444-0015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1619297660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "address_2": "101",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255",
            "telephone_number": "201-445-6378",
            "fax_number": "201-445-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "address_2": "101",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255",
            "telephone_number": "201-445-6378",
            "fax_number": "201-445-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVINLEIBOWITZ, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "201-445-6378",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100088200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.