Individual provider Active NPI

Barbara Lauer-Listhaus, PSYD

  • Clinical Psychologist
  • Livingston, NJ
National Provider Identifier
1720383524
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100525200 Issued in NJ
Practice address
66 W Mount Pleasant Ave Ste 205
Livingston, NJ 07039-2930
Phone
(201) 292-4233
NPI assigned
Jan 26, 2011
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS006512-L PA
Clinical Psychologist 103TC0700X 009703-1 NY
Clinical Psychologist 103TC0700X 35S100525200 NJ Primary
Clinical Psychologist 103TC0700X PSY9695 FL

Addresses

Primary practice location

66 W Mount Pleasant Ave Ste 205
Livingston, NJ 07039-2930

Mailing address

66 W Mount Pleasant Ave Ste 205
Livingston, NJ 07039-2930
Phone (201) 292-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622000210 NJ Practitioner - Clinical Psychologist 7810208626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY9695FLMDClinical Psychologist
35S100525200NJMDClinical Psychologist
PS006512-LPAMDClinical Psychologist
009703-1NYMDOccupational Therapy Assistant

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1720383524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W MOUNT PLEASANT AVE STE 205",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392930",
            "telephone_number": "201-292-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 W MOUNT PLEASANT AVE STE 205",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392930",
            "telephone_number": "201-292-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER-LISTHAUS",
        "first_name": "BARBARA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006512-L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009703-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100525200",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PSY9695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.