Individual provider Active NPI

Robert D. Staffin, PSY.D.

  • Clinical Psychologist
  • Teaneck, NJ
National Provider Identifier
1679594071
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI 03092 Issued in NJ
Practice address
304 Johnson Ave
Teaneck, NJ 07666-3151
Phone
(201) 836-4055
NPI assigned
Jul 21, 2006
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
SI 03092NJMDClinical Psychologist
010531NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Staffin & Talcoff Associates, Inc Clinical PastSince Apr 1, 2006 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.

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

Sources for this page

Verify at the official NPI Registry.