Individual provider Active NPI

Eugene Dunaev, PSY.D.

  • Clinical Psychologist
  • Ramsey, NJ
National Provider Identifier
1699150581
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00540000 Issued in NJ
Practice address
79 N Franklin Tpke Ste LL-B
Ramsey, NJ 07446-2035
Phone
(862) 248-2228
NPI assigned
Jul 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 35SI00540000 NJ Primary

Addresses

Primary practice location

79 N Franklin Tpke Ste LL-B
Ramsey, NJ 07446-2035

Mailing address

79 N Franklin Tpke Ste LL-B
Ramsey, NJ 07446-2035
Phone (862) 248-2228

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

State licenses

LicenseStateTypeSpecialty
35SI00540000NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Living Psychological Services, LLC CurrentSince Feb 16, 2020 Accepting new patients

Locations

79 N Franklin Tpke
Ste Llb
Ramsey, NJ 07446
Phone (862) 248-2228

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1699150581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 N FRANKLIN TPKE STE LL-B",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462035",
            "telephone_number": "862-248-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N FRANKLIN TPKE STE LL-B",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462035",
            "telephone_number": "862-248-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAEV",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00540000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.