Active NPI
Jessica Haftek, PSY.D.
- Psychologist
- Midland Park, NJ
National Provider Identifier
1811281025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00507500
- Practice address
- 700 Godwin Ave Ste 120
Midland Park, NJ 07432-1460 - Phone
- (201) 447-0303
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018638-1 | NY | |
| Psychologist | 103T00000X | 35SI00507500 | NJ | Primary |
Addresses
Primary practice location
700 Godwin Ave Ste 120
Midland Park, NJ 07432-1460
Mailing address
700 Godwin Ave Ste 120
Midland Park, NJ 07432-1460
Phone (201) 447-0303
Other practice location 1
333A US Highway 46 Ste 260
Fairfield, NJ 07004-2480
Phone (973) 575-0655
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00507500 | NJ | MD | Psychologist |
| 018638-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abilities Network LLC | Psychologist | Past | Accepting new patients |
| Dr. Mae J. Balaban & Associates LLC | Psychologist | Past | 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.
-
- Psychologist
- Fairfield, NJ
- NPI 1912543695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545523200000",
"number": "1811281025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GODWIN AVE STE 120",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321460",
"telephone_number": "201-447-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 GODWIN AVE STE 120",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321460",
"telephone_number": "201-447-0303"
}
],
"practiceLocations": [
{
"address_1": "333A US Highway 46 Ste 260",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "NJ",
"postal_code": "070042480",
"country_code": "US",
"telephone_number": "973-575-0655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFTEK",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2018-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018638-1",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00507500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.