Individual provider Active NPI

Jessica Maneri, PSY. M.

  • School Psychologist
  • Fair Lawn, NJ
National Provider Identifier
1720972003
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
11 Reading Ter
Fair Lawn, NJ 07410-3315
Phone
(201) 403-4604
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NJ Primary

Addresses

Primary practice location

11 Reading Ter
Fair Lawn, NJ 07410-3315

Mailing address

11 Reading Ter
Fair Lawn, NJ 07410-3315
Phone (201) 403-4604

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1720972003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 READING TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103315",
            "telephone_number": "201-403-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 READING TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103315",
            "telephone_number": "201-403-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANERI",
        "first_name": "JESSICA",
        "credential": "PSY. M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.