Individual provider Active NPI

Michael Patrick Filiaci, PH.D.

  • Counseling Psychologist
  • Cedar Grove, NJ
National Provider Identifier
1750832051
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35SI00714500 Issued in NJ
Practice address
908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263
Phone
(862) 277-0198
NPI assigned
Oct 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NJ
Counseling Psychologist 103TC1900X 35SI00714500 NJ Primary

Addresses

Primary practice location

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263

Mailing address

155 Clinton Rd # 3052
West Caldwell, NJ 07006-6601
Phone (201) 463-8824

Other names 1

  • Dr. Michael Patrick Filiaci Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00714500NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Main St Counseling Center Past Accepting new patients
Main Street Counseling Service PastSince Dec 9, 2014 Accepting new patients

Organizations & group practices 2

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": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1750832051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CLINTON RD # 3052",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066601",
            "telephone_number": "201-463-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "862-277-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIACI",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00714500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "FILIACI",
            "middle_name": "PATRICK",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.