Active NPI
Lucien Laurier Duquette, PHD
- Psychologist
- Englewood, NJ
National Provider Identifier
1679637466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SI02555
- Practice address
- 15 Engle St Ste 203
Englewood, NJ 07631-2920 - Phone
- (201) 894-1224
- Fax
- (201) 894-4720
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | SI02555 | NJ | |
| Psychologist | 103T00000X | SI02555 | NJ | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | SI02555 | NJ | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | SI02555 | NJ | |
| Group Psychotherapy Psychologist | 103TP2701X | SI02555 | NJ | |
| Family Psychologist | 103TF0000X | SI02555 | NJ |
Addresses
Primary practice location
15 Engle St Ste 203
Englewood, NJ 07631-2920
Mailing address
90 Columbus Ave
Closter, NJ 07624-2454
Phone (201) 894-1224
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI02555 | NJ | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Wellness Center and Associates, LLC | Psychologist | 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.
-
- Psychologist
- Englewood, NJ
- NPI 1720408099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423267200000",
"number": "1679637466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 COLUMBUS AVE",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076242454",
"telephone_number": "201-894-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ENGLE ST STE 203",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312920",
"telephone_number": "201-894-1224",
"fax_number": "201-894-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUQUETTE",
"first_name": "LUCIEN",
"middle_name": "LAURIER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2015-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NJ",
"license": "SI02555",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "SI02555",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NJ",
"license": "SI02555",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "SI02555",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NJ",
"license": "SI02555",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NJ",
"license": "SI02555",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.