Individual provider Active NPI

Irit Vita Felsen, PHD

  • Clinical Psychologist
  • Boonton, NJ
National Provider Identifier
1841356896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3756 Issued in NJ
Practice address
550 W Main St
Boonton, NJ 07005
Phone
(973) 541-9900
Fax
(973) 263-3547
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 3756 NJ Primary

Addresses

Primary practice location

550 W Main St
Boonton, NJ 07005

Mailing address

550 W Main St
Boonton, NJ 07005
Phone (973) 541-9900

Other names 1

  • Irit Felsen Professional name

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

157 Engle St
Englewood, NJ 07631-2542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3756NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Irit Felsen LLC Clinical CurrentSince Mar 2, 2011 Accepting new patients

Locations

157 Engle St
Englewood, NJ 07631
Phone (201) 682-5603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841356896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-541-9900",
            "fax_number": "973-263-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-541-9900",
            "fax_number": "973-263-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSEN",
        "first_name": "IRIT",
        "middle_name": "VITA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIT",
            "last_name": "FELSEN",
            "credential": "PHD LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boonton, NJ

Sources for this page

Verify at the official NPI Registry.