Individual provider Active NPI

Ma'Ayan Greenbaum, PSY.D.

  • Psychologist
  • Livingston, NJ
National Provider Identifier
1669590923
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4558 Issued in NJ
Practice address
124 E Mount Pleasant Ave
2ND FL
Livingston, NJ 07039-3026
Phone
(973) 994-0603
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4558 NJ Primary

Addresses

Primary practice location

124 E Mount Pleasant Ave
2ND FL
Livingston, NJ 07039-3026

Mailing address

43 Amherst PL
Livingston, NJ 07039-3901
Phone (973) 768-6163

Other names 1

  • Dr. Ma'Ayan Becker-Reshef Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Psychological Group, PA PastSince Aug 1, 2006 Accepting new patients
Richard B. Dauber, PH.D. Psychologist Past Accepting new patients

Organizations & group practices 2

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1669590923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 AMHERST PL",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393901",
            "telephone_number": "973-768-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MOUNT PLEASANT AVE",
            "address_2": "2ND FL",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393026",
            "telephone_number": "973-994-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "MA'AYAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA'AYAN",
            "last_name": "BECKER-RESHEF",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.