Organization Active NPI

Hasson Psychological Group LLC

  • Clinical Neuropsychologist
  • Englewood, NJ
National Provider Identifier
1730118571
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2493 Issued in NJ
Legal business name
HASSON PSYCHOLOGICAL GROUP LLC
Practice address
185 Engle St FL 2
Englewood, NJ 07631-2409
Phone
(201) 568-1111
Fax
(201) 568-1855
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Charles Stewart Hasson, PH.D LIC. PSYCHOLOGINPI 1548209034
Title
Lic. Psychologist Owner
Phone
(201) 568-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 2493 NJ Primary

Addresses

Primary practice location

185 Engle St FL 2
Englewood, NJ 07631-2409

Mailing address

185 Engle St FL 2
Englewood, NJ 07631-2409
Phone (201) 568-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000126 NJ Part B Supplier - Clinic/Group Practice 4688687114 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ

National Provider Directory

National Provider Directory

Locations

185 Engle St
Fl Second
Englewood, NJ 07631
Phone (201) 568-1111

661 E Palisade Ave
Ste C2
Englewood Cliffs, NJ 07632
Phone (201) 568-1111

111 Charlotte Pl
Ste 302
Englewood Cliffs, NJ 07632
Phone (201) 568-1111

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1730118571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ENGLE ST FL 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312409",
            "telephone_number": "201-568-1111",
            "fax_number": "201-568-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ENGLE ST FL 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312409",
            "telephone_number": "201-568-1111",
            "fax_number": "201-568-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSON PSYCHOLOGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "HASSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "LIC. PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "201-568-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D LIC. PSYCHOLOGI"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "2493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.