Active NPI
Susan J Creange, PH.D
- Clinical Psychologist
- North Haledon, NJ
National Provider Identifier
1740496538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00460300
- Practice address
- 681 High Mountain Rd
North Haledon, NJ 07508-2723 - Phone
- (973) 427-3255
- Fax
- (973) 427-4442
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00460300 | NJ | Primary |
Addresses
Primary practice location
681 High Mountain Rd
North Haledon, NJ 07508-2723
Mailing address
681 High Mountain Rd
North Haledon, NJ 07508-2723
Phone (973) 427-3255
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00460300 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1740496538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 HIGH MOUNTAIN RD",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075082723",
"telephone_number": "973-427-3255",
"fax_number": "973-427-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 HIGH MOUNTAIN RD",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075082723",
"telephone_number": "973-427-3255",
"fax_number": "973-427-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREANGE",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00460300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.