Organization Active NPI

Barbara J. Korzun, Psy.D. LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Princeton, NJ
National Provider Identifier
1659794873
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
35SI00334700 Issued in NJ
Legal business name
BARBARA J. KORZUN, PSY.D. LLC
Practice address
103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone
(609) 865-9290
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Barbara Joan Korzun, PSY.D.NPI 1528074572
Title
Owner
Phone
(609) 865-9290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 35SI00334700 NJ Primary

Addresses

Primary practice location

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235

Mailing address

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (609) 865-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605001764 NJ Part B Supplier - Clinic/Group Practice 0345464624 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1659794873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CARNEGIE CTR",
            "address_2": "SUITE 300",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406235",
            "telephone_number": "609-865-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARNEGIE CTR",
            "address_2": "SUITE 300",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406235",
            "telephone_number": "609-865-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA J. KORZUN, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "KORZUN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-865-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "35SI00334700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.