Marlon Todd Gieser, PH.D.
Individual provider Active NPI Psychologist · Upper Montclair, NJ
NPI 1922005172 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1922005172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1912 (NJ)
- Practice address
- 543 Valley Rd
Upper Montclair, NJ 07043-1881 - Phone
- (973) 746-0084
- Fax
- (973) 233-1217
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1101 Ocean Ave
Unit 504
Asbury Park, NJ 07712-5887
Phone (973) 420-7030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110204000660 | NJ | Practitioner - Clinical Psychologist | 7810177029 | Practice locations: Summit, NJ; Upper Montclair, NJ |
| I20110210000418 | NJ | Practitioner - Clinical Psychologist | 7810177029 | Practice locations: Asbury Park, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1912 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith R Kuskin, MSW, LCSW | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1912 | NJ | Yes |
Addresses
Primary practice location
543 Valley Rd
Upper Montclair, NJ 07043-1881
Mailing address
543 Valley Rd
Upper Montclair, NJ 07043-1881
Phone (973) 746-0084
Other providers in Upper Montclair, NJ
- Sharon Jill Freedman
- Dawn C Fried
- Mark J Friedman
- Linda Friedricks
- Full Heart Recovery, LLC
- Sherri S Glassman
- Edward David Gold
- Lydia Zborowski Golub
- William Michael Gordon
- Marsha L. Grant-Ford
All providers in Upper Montclair, NJ · 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 Jul 13, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.