Patrick Lantzy, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI 03721 Issued in NJ

Practice address

200 Valley Rd
Suite 301
Mt Arlington, NJ 07856-1320

Phone

(973) 601-0100

Fax

(973) 338-2211

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Neurorehab Institute LLC

  • Clinical Psychologist
  • Mount Arlington, NJ
  • NPI 1457539595
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1851431019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079300026",
            "telephone_number": "973-601-0100",
            "fax_number": "973-338-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALLEY RD",
            "address_2": "SUITE 301",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561320",
            "telephone_number": "973-601-0100",
            "fax_number": "973-338-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZY",
        "first_name": "PATRICK",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PA PS-005396-L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI 03721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Allen Kappy, M.D.
• Martin S Kartush, DDS
• Sophia Kerkoulas
• Lalas Helping Hands
• Landing Dental Office PC (Arlington Dental Assoc)
• Gregory P. Levine, L.P.C.
• Erin Christina Leyden, LSW
• Barry Hunt Lowell, M.D.
• Kerry Lucas, LPC
• James Mahoney, LICSW

• Clinical Psychologist in Mount Arlington, NJ
• Providers in Mount Arlington, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.