Individual provider Active NPI

Christine Stephanie Naungayan, MD

  • Psychiatry Physician
  • Montclair, NJ
National Provider Identifier
1659481216
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042633 Issued in CT
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

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004235926MedicaidCT

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

LicenseStateTypeSpecialty
042633CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Center LLC Psychiatry CurrentSince Jul 4, 2021 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.

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.

Verify at the official NPI Registry.