Active NPI
Christine Stephanie Naungayan, MD
- Psychiatry Physician
- Montclair, NJ
National Provider Identifier
1659481216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 042633
- Practice address
- 311 Claremont Ave
Montclair, NJ 07042-2240 - Phone
- (973) 600-5465
- Fax
- (201) 353-2514
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042633 | CT | Primary |
Addresses
Primary practice location
311 Claremont Ave
Montclair, NJ 07042-2240
Mailing address
PO Box 3189
Teaneck, NJ 07666-9104
Phone (973) 600-5465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235926 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042633 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wellness Center LLC | Psychiatry | Current | Accepting new patients |
| Horizon Mental Health Management LLC | Psychiatry | Past | Accepting new patients |
| Waterbury Hospital | Past | Accepting new patients | |
| New England Psychiatric Associates LLC | Past | Accepting new patients |
Locations
311 Claremont Ave
Montclair, NJ 07042
Phone (973) 600-5465
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Montclair, NJ
- NPI 1699135012
-
- Psychiatry Physician
- Lewisville, TX
- NPI 1255380176
-
- Psychiatric Hospital Unit
- Sharon, CT
- NPI 1770714453
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1184615114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1659481216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076669104",
"telephone_number": "973-600-5465",
"fax_number": "201-353-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CLAREMONT AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422240",
"telephone_number": "973-600-5465",
"fax_number": "201-353-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAUNGAYAN",
"first_name": "CHRISTINE",
"middle_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "042633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235926",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.