Individual provider Active NPI

Beata Sylvia Geyer, PH.D. , ABPP-CN

  • Psychologist
  • Fairfield, NJ
National Provider Identifier
1740368034
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00407100 Issued in NJ
Practice address
310 Passaic Avenue, Building B, Suite 301
Fairfield, NJ 07004-2530
Phone
(973) 832-7777
Fax
(862) 702-8273
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00407100 NJ Primary

Addresses

Primary practice location

310 Passaic Avenue, Building B, Suite 301
Fairfield, NJ 07004-2530

Mailing address

310 Passaic Avenue, Building B, Suite 301
Fairfield, NJ 07004-2530
Phone (973) 832-7777

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
I20031122000001 NJ Practitioner - Clinical Psychologist 1052215894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

671 Hoes Lane
Room C205
Red Bank, NJ 07701-5119

671 Hoes LN W
RM C205
Piscataway, NJ 08854-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00407100NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health CurrentSince Aug 20, 2025 Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Aug 20, 2025 Accepting new patients
Mindful Assessments and Psychological Services, LLC CurrentSince May 14, 2023 Accepting new patients

Locations

310 Passaic Ave
Ste 301
Fairfield, NJ 07004
Phone (973) 832-7777

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

7 Industrial Rd
Ste 202
Pequannock, NJ 07440
Phone (973) 832-7777

671 Hoes Ln W
Rm C205
Piscataway, NJ 08854
Phone (732) 235-4040

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-3289

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1740368034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PASSAIC AVENUE, BUILDING B, SUITE 301",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042530",
            "telephone_number": "973-832-7777",
            "fax_number": "862-702-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PASSAIC AVENUE, BUILDING B, SUITE 301",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042530",
            "telephone_number": "973-832-7777",
            "fax_number": "862-702-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "BEATA",
        "middle_name": "SYLVIA",
        "credential": "PH.D. , ABPP-CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-06-06",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00407100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.