Active NPI
Allison J Shale Deutsch, PSYCHOLOGIST (PSY.D)
- Clinical Psychologist
- Saddle River, NJ
National Provider Identifier
1982956132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5389
- Practice address
- 82 E Allendale Rd Ste 2B
Saddle River, NJ 07458-3057 - Phone
- (201) 477-8178
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5389 | NJ | Primary |
Addresses
Primary practice location
82 E Allendale Rd Ste 2B
Saddle River, NJ 07458-3057
Mailing address
82 E Allendale Rd Ste 2B
Saddle River, NJ 07458-3057
Phone (201) 477-8178
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355940 | Other | NY | AGENCY MEDICAID |
| 1285628552 | Other | NY | AGENCY NPI |
| WVE061 | Other | NY | AGENCY MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5389 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shale Psychology, LLC | Current | Accepting new patients |
Locations
82 E Allendale Rd
Ste 2B
Saddle River, NJ 07458
Phone (201) 477-8178
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saddle River, NJ
- NPI 1487277752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1982956132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 E ALLENDALE RD STE 2B",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583057",
"telephone_number": "201-477-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 E ALLENDALE RD STE 2B",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074583057",
"telephone_number": "201-477-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALE DEUTSCH",
"first_name": "ALLISON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST (PSY.D)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "5389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI",
"identifier": "1285628552",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICARE",
"identifier": "WVE061",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.