Individual provider Active NPI

David Gary Pilchman, PH.D.

  • Clinical Psychologist
  • Springfield, NJ
National Provider Identifier
1790809200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100174400 Issued in NJ
Practice address
28 Millburn Ave
Springfield, NJ 07081-1039
Phone
(973) 467-9333
Fax
(973) 467-1145
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100174400 NJ Primary

Addresses

Primary practice location

28 Millburn Ave
Springfield, NJ 07081-1039

Mailing address

28 Millburn Ave
Springfield, NJ 07081-1039
Phone (973) 467-9333

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
35S100174400NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychiatric & Counseling Associates Past Accepting new patients

Organizations & group practices 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790809200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811039",
            "telephone_number": "973-467-9333",
            "fax_number": "973-467-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811039",
            "telephone_number": "973-467-9333",
            "fax_number": "973-467-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCHMAN",
        "first_name": "DAVID",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100174400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.