Active NPI
Kristen Heather Marcaly, PSYD
- Clinical Child & Adolescent Psychologist
- Eatontown, NJ
National Provider Identifier
1780815811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 35SI00607000
- Practice address
- 200 Wyckoff Rd FL 2
Eatontown, NJ 07724-1928 - Phone
- (551) 347-4678
- Fax
- (732) 389-6073
- NPI assigned
- Aug 6, 2009
- 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 Child & Adolescent Psychologist | 103TC2200X | 35SI00607000 | NJ | Primary |
Addresses
Primary practice location
200 Wyckoff Rd FL 2
Eatontown, NJ 07724-1928
Mailing address
200 Wyckoff Rd FL 2
Eatontown, NJ 07724-1928
Phone (551) 347-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1780815811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WYCKOFF RD FL 2",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241928",
"telephone_number": "551-347-4678",
"fax_number": "732-389-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WYCKOFF RD FL 2",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077241928",
"telephone_number": "551-347-4678",
"fax_number": "732-389-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCALY",
"first_name": "KRISTEN",
"middle_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NJ",
"license": "35SI00607000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
- Danielle Mancinelli, BCBA
- Manfredi Surgical & Orthopedic Co., Inc. (Manfredi Orthotic & Prosthetic Affilates)
- Mihir Kishor Maniar, D.O.
- Michele Maraziti, LCSW
- Marc E Gordon DMD, PC
- Andrew E. Marino, MD
- Markbreiter Orthopedics PC
- Marron Family Wellness Center LLC
- Deborah Lynn Martin, MA,L.P.C.,L.C.A.D.C
- Keith H Martinez, LCSW, LCADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.