Individual provider Active NPI

Allison J Shale Deutsch, PSYCHOLOGIST (PSY.D)

  • Clinical Psychologist
  • Saddle River, NJ
National Provider Identifier
1982956132
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5389 Issued in NJ
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

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00355940OtherNYAGENCY MEDICAID
1285628552OtherNYAGENCY NPI
WVE061OtherNYAGENCY 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

LicenseStateTypeSpecialty
5389NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shale Psychology, LLC CurrentSince May 24, 2020 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.

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.

Verify at the official NPI Registry.