Active NPI
Intervention Strategies International
- Clinical Psychologist
- Secaucus, NJ
National Provider Identifier
1801944061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00358700
- Legal business name
- INTERVENTION STRATEGIES INTERNATIONAL
- Practice address
- 110B Meadowlands Pkwy
Secaucus, NJ 07094-2308 - Phone
- (800) 663-0404
- NPI assigned
- Jan 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tracey Lynne Waldman, PH.D.
- Title
- Clinical Psychologist
- Phone
- (800) 663-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00358700 | NJ | Primary |
Addresses
Primary practice location
110B Meadowlands Pkwy
Secaucus, NJ 07094-2308
Mailing address
PO Box 337
Midland Park, NJ 07432-0337
Phone (800) 663-0404
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801944061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074320337",
"telephone_number": "800-663-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110B MEADOWLANDS PKWY",
"city": "SECAUCUS",
"state": "NJ",
"postal_code": "070942308",
"telephone_number": "800-663-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTION STRATEGIES INTERNATIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALDMAN",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "800-663-0404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00358700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Secaucus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.