Individual provider Active NPI

Michael Baglieri, PHD

  • Counseling Psychologist
  • Jersey City, NJ
National Provider Identifier
1912665134
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
213-082 Issued in NJ
Practice address
277 Grove St Ste 202
Jersey City, NJ 07302-3601
Phone
(201) 409-0331
NPI assigned
Dec 5, 2021
Last updated
Dec 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 213-082 NJ Primary

Addresses

Primary practice location

277 Grove St Ste 202
Jersey City, NJ 07302-3601

Mailing address

223 Hillside Ave
Cranford, NJ 07016-3409
Phone (908) 418-6104

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
213-082NJMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Center for Couple & Psychological Growth CurrentSince Dec 31, 2023 Accepting new patients

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": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1912665134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 HILLSIDE AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163409",
            "telephone_number": "908-418-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GROVE ST STE 202",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023601",
            "telephone_number": "201-409-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLIERI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-05",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "213-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.