Individual provider Active NPI

Robert Tomlinson, MDIV, MA, LP

  • Psychoanalyst
  • Ridgewood, NJ
National Provider Identifier
1669659587
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000799 Issued in NY
Practice address
589 Franklin Tpke
Suite 5
Ridgewood, NJ 07450-1989
Phone
(201) 444-4001
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000799 NY Primary

Addresses

Primary practice location

589 Franklin Tpke
Suite 5
Ridgewood, NJ 07450-1989

Mailing address

2 Stone Hill Rd
Wayne, NJ 07470-4196
Phone (973) 686-1471

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000799NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1669659587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONE HILL RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704196",
            "telephone_number": "973-686-1471",
            "fax_number": "973-686-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 FRANKLIN TPKE",
            "address_2": "SUITE 5",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501989",
            "telephone_number": "201-444-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "ROBERT",
        "credential": "MDIV, MA, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000799",
            "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 Jan 22, 2008; 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.