Individual provider Active NPI

Maria Elena Xiques, PSY.D.

  • Clinical Psychologist
  • Morris Plains, NJ
National Provider Identifier
1942518238
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4760 Issued in NJ
Practice address
59 Koch Avenue
Greystone Park Psychiatric Hospital
Morris Plains, NJ 07950
Phone
(973) 538-1800
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4760 NJ Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 4760 NJ

Addresses

Primary practice location

59 Koch Avenue
Greystone Park Psychiatric Hospital
Morris Plains, NJ 07950

Mailing address

59 Koch Avenue
Greystone Park Psychiatric Hospital
Morris Plains, NJ 07950
Phone (973) 538-1800

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

State licenses

LicenseStateTypeSpecialty
4760NJMDIntellectual & Developmental Disabilities Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1942518238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KOCH AVENUE",
            "address_2": "GREYSTONE PARK PSYCHIATRIC HOSPITAL",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-538-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KOCH AVENUE",
            "address_2": "GREYSTONE PARK PSYCHIATRIC HOSPITAL",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "07950",
            "telephone_number": "973-538-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIQUES",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4760",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NJ",
            "license": "4760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.