Active NPI
Michael Brendan McLoughlin, PH.D.
- Psychologist
- Denville, NJ
National Provider Identifier
1730301425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00370100
- Practice address
- 25 Orchard Street
Suite 202
Denville, NJ 07834 - Phone
- (973) 627-5553
- Fax
- (973) 627-6757
- NPI assigned
- May 3, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00370100 | NJ | Primary |
| Marriage & Family Therapist | 106H00000X | 37FI00119100 | NJ |
Addresses
Primary practice location
25 Orchard Street
Suite 202
Denville, NJ 07834
Mailing address
25 Orchard Street
Suite 202
Denville, NJ 07834
Phone (973) 627-5553
Other names 1
- M Brendan McLoughlin
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120601000262 | NJ | Practitioner - Clinical Psychologist | 8729241716 | Practice locations: Denville, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00370100 | NJ | MD | Psychologist |
| 37FI00119100 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1730301425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ORCHARD STREET",
"address_2": "SUITE 202",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "07834",
"telephone_number": "973-627-5553",
"fax_number": "973-627-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ORCHARD STREET",
"address_2": "SUITE 202",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "07834",
"telephone_number": "973-627-5553",
"fax_number": "973-627-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLOUGHLIN",
"first_name": "MICHAEL",
"middle_name": "BRENDAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00370100",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00119100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M",
"last_name": "MCLOUGHLIN",
"middle_name": "BRENDAN",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.