Samuel Maldonado, PH.D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

37PC00744200 Issued in NJ

Practice address

871 Dorchester LN Apt D
New Milford, NJ 07646-3090

Phone

(201) 364-8474

NPI assigned

Apr 28, 2016

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Mental Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Lee, NJ
  • NPI 1720594898
  NPD Authorized official
• Educational & Behavioral Health Associates

  dba Ebha

  • Community/Behavioral Health Agency
  • Totowa, NJ
  • NPI 1659704864
  Authorized official Same address or phone

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1699120568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 ARBOR MILL CIR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653202",
            "telephone_number": "201-410-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 DORCHESTER LN APT D",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463090",
            "telephone_number": "201-364-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27605",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "37PC00744200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Lynn Lisi, MSPT
• Serafin Lizardo, ANP
• Lan N Ly
• Madison Spine and Physicaltherapy, Inc.
• Madison Spine Limited Partnership
• Rabia N Malik, MD
• Haydee Mancao, NP
• Renee Mann, MSW, LCSW
• Doron David Marbe, PH.D.
• Dante Marchesani, DPT

• Cognitive & Behavioral Psychologist in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Cognitive & Behavioral Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.