Active NPI
Anna Breytman, PH.D.
- Psychologist
- Princeton, NJ
National Provider Identifier
1679593834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015691-1
- Practice address
- 194 N Harrison St
Princeton, NJ 08540-3516 - Phone
- (201) 694-2129
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35S100488400 | NJ | |
| Psychologist | 103T00000X | 015691-1 | NY | Primary |
Addresses
Primary practice location
194 N Harrison St
Princeton, NJ 08540-3516
Mailing address
194 N Harrison St
Princeton, NJ 08540-3516
Phone (201) 694-2129
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015691-1 | NY | MD | Psychologist |
| 35S100488400 | NJ | MD | Clinical Psychologist |
| 015691 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1679593834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 N HARRISON ST",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403516",
"telephone_number": "201-694-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 N HARRISON ST",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403516",
"telephone_number": "201-694-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREYTMAN",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100488400",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015691-1",
"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 Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.