Active NPIIndividual providerSole proprietor

Dr. Sandra M Carlisle, PSYD

Psychologist in Demarest, New Jersey

NPI Number1710138409
Practice location
14 Pine Hill RD, Demarest, NJ 07627-1309
Fax
—
Last updated
October 1, 2008

Sandra Marie Carlisle is a Psychologist based in Demarest, NJ. Sandra Marie Carlisle practices in Demarest, NJ and has the professional credentials of PSYD. The NPI Number for Sandra Marie Carlisle is 1710138409 and holds a License No. 35S100459000 (NJ). The current practice location address for Sandra Marie Carlisle is 14 Pine Hill RD, Demarest, NJ 07627-1309 and can be reached out via phone at 201-424-5197.

Provider Profile Details

NPI Number
1710138409
Provider Name
Sandra Marie Carlisle
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
14 Pine Hill RD, Demarest, NJ 07627-1309
Phone Number
201-424-5197
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 1, 2008
Last Update Date
October 1, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Pine Hill RD
Demarest, NJ 07627-1309
Zip
07627-1309
Phone Number
201-424-5197
Demarest, NJ 07627Get directions →

Provider Business Mailing Address Details

Address
17 Mountain Trail
Sandyston, NJ 07826
City
Sandyston
State
NJ
Zip
07826
Phone Number
973-948-0886

License Information

License Number
35S100459000
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sandra M Carlisle, PSYD?

The NPI number of Dr. Sandra M Carlisle, PSYD is 1710138409. It was assigned on October 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Sandra M Carlisle, PSYD?

Dr. Sandra M Carlisle, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35S100459000.

Where does Dr. Sandra M Carlisle, PSYD practice?

The practice location is 14 Pine Hill RD, Demarest, NJ 07627-1309. The office can be reached at 201-424-5197 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710138409 directly on the NPPES registry website.

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