Lauren Defressine
Individual provider Active NPI Clinical Psychologist · Waldwick, NJ
NPI 1851774533 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1851774533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 35SI00635600 (NJ)
- Practice address
- 71 Franklin Tpke Ste 8
Waldwick, NJ 07463-1851 - Phone
- (201) 670-6450
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective May 27, 2021 through May 27, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00635600 | NJ | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00635600 | NJ | Yes |
Addresses
Primary practice location
71 Franklin Tpke Ste 8
Waldwick, NJ 07463-1851
Mailing address
166 Albert St
North Arlington, NJ 07031
Phone (201) 926-6929
Other providers in Waldwick, NJ
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- Isabel R. De Master
- Zoltan F Deak
- Stephen Michael Decker
- Anthony M Delgreco
- Natalie Della Croce
- Darshika Desai
- Ripal Desai
- Maryann Deutsch
All providers in Waldwick, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.