Organization Active NPI

Nadimeh H Badaan, Psy.D., LLC

  • Clinical Psychologist
  • Hoboken, NJ
National Provider Identifier
1699292193
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5779 Issued in NJ
Legal business name
NADIMEH H BADAAN, PSY.D., LLC
Practice address
615 Adams St Apt 3C
Hoboken, NJ 07030-8025
Phone
12015726191
NPI assigned
Aug 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Authorized official

Name
Dr. Nadimeh Hani Badaan, PSY.D.
Title
Owner
Phone
(201) 572-6191

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 5779 NJ Primary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 9824 FL
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 022109-1 NY

Addresses

Primary practice location

615 Adams St Apt 3C
Hoboken, NJ 07030-8025

Mailing address

615 Adams St Apt 3C
Hoboken, NJ 07030-8025
Phone (201) 572-6191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1699292193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ADAMS ST APT 3C",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308025",
            "telephone_number": "12015726191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ADAMS ST APT 3C",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308025",
            "telephone_number": "12015726191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIMEH H BADAAN, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "BADAAN",
        "authorized_official_first_name": "NADIMEH",
        "authorized_official_middle_name": "HANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-572-6191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "5779",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "9824",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022109-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.