Active NPI
Alan Richard Wiesenfeld, PH.D.
- Clinical Psychologist
- Atlantic Highlands, NJ
National Provider Identifier
1710075650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1562
- Practice address
- 3 Beacon Hill Rd
Atlantic Highlands, NJ 07716-2006 - Phone
- (732) 291-0261
- Fax
- (732) 291-4216
- NPI assigned
- Oct 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1562 | NJ | Primary |
Addresses
Primary practice location
3 Beacon Hill Rd
Atlantic Highlands, NJ 07716-2006
Mailing address
3 Beacon Hill Rd
Atlantic Highlands, NJ 07716-2006
Phone (732) 291-0261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1562 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychology Associates, LLC | 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 and National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Shrewsbury, NJ
- NPI 1255508842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710075650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BEACON HILL RD",
"city": "ATLANTIC HIGHLANDS",
"state": "NJ",
"postal_code": "077162006",
"telephone_number": "732-291-0261",
"fax_number": "732-291-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BEACON HILL RD",
"city": "ATLANTIC HIGHLANDS",
"state": "NJ",
"postal_code": "077162006",
"telephone_number": "732-291-0261",
"fax_number": "732-291-4216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESENFELD",
"first_name": "ALAN",
"middle_name": "RICHARD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "1562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic Highlands, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.