Alana Miriam Balaban Fisher, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00486300 Issued in NJ

Practice address

764 Palisade Ave Ste 1F
Teaneck, NJ 07666-3129

Phone

(201) 490-9675

NPI assigned

Jun 18, 2009

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Alana Miriam Balaban Former name

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 Feb 19, 2015 through Feb 19, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Vericare Behavioral Health of New Jersey, P.a.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1669408274
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1891922738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 PALISADE AVE STE 1F",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663129",
            "telephone_number": "201-490-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 PALISADE AVE STE 1F",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663129",
            "telephone_number": "201-490-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALABAN FISHER",
        "first_name": "ALANA",
        "middle_name": "MIRIAM",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016605-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016605-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00486300",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "016605-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANA",
            "last_name": "BALABAN",
            "middle_name": "MIRIAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariella Eda Bahat, MS, OTR/L
• Helena Marie-Joseph Baidoo
• Gina Marie Baird, PA
• Jessica Yael Baitner, DMD
• Neha Bakaria, PT
• Maria Balabanian, MD
• Shruthi Balakrishna
• Erica K Balch, LPC, LCADC
• Tamara Lynn Baldesweiler
• Eloisa C Baldovino, PHYSICAL THERAPIST

• Clinical Psychologist in Teaneck, NJ
• Providers in Teaneck, 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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.