Active NPI
Robert D. Staffin, PSY.D.
- Clinical Psychologist
- Teaneck, NJ
National Provider Identifier
1679594071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SI 03092
- Practice address
- 304 Johnson Ave
Teaneck, NJ 07666-3151 - Phone
- (201) 836-4055
- NPI assigned
- Jul 21, 2006
- Last updated
- Oct 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | SI 03092 | NJ | Primary |
Addresses
Primary practice location
304 Johnson Ave
Teaneck, NJ 07666-3151
Mailing address
304 Johnson Ave
Teaneck, NJ 07666-3151
Phone (201) 836-4055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 03092 | NJ | MD | Clinical Psychologist |
| 010531 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staffin & Talcoff Associates, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Teaneck, NJ
- NPI 1366599573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1679594071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 JOHNSON AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663151",
"telephone_number": "201-836-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 JOHNSON AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076663151",
"telephone_number": "201-836-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFIN",
"first_name": "ROBERT",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI 03092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
- Amber Springer
- Sprout Therapy and Support Services LLC
- Linda Michelle Sragow, MA, O.T.R.
- Staci Bockstein Frankowitz, D.M.D., P.a.
- Staffin & Talcoff Associates, Inc
- Stages of Healing- Plenitud de Vida Counseling Center
- Aliza E Staiman, D.D.S
- George R Stallone, DC, CNIM
- Michael Stango, PH.D. CLINICAL PSYCH
- Stanley H Teitelbaum PHD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.