Individual provider Active NPI

Philip Norman Horowitz, PH.D

  • Clinical Psychologist
  • Randolph, NJ
National Provider Identifier
1689831471
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00164900 Issued in NJ
Practice address
2 W Hanover Ave
Suite 203
Randolph, NJ 07869-4222
Phone
(973) 895-4840
Fax
(973) 729-5826
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00164900 NJ Primary
Forensic Psychologist 103TF0200X 35SI00164900 NJ

Addresses

Primary practice location

2 W Hanover Ave
Suite 203
Randolph, NJ 07869-4222

Mailing address

2 W Hanover Ave
Suite 203
Randolph, NJ 07869-4222
Phone (973) 895-4840

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

LicenseStateTypeSpecialty
35SI00164900NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Huber & Horowitz 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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1689831471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W HANOVER AVE",
            "address_2": "SUITE 203",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694222",
            "telephone_number": "973-895-4840",
            "fax_number": "973-729-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W HANOVER AVE",
            "address_2": "SUITE 203",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694222",
            "telephone_number": "973-895-4840",
            "fax_number": "973-729-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "PHILIP",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00164900",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NJ",
            "license": "35SI00164900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.