Dr. Gautam Bhasin, PSYD
Psychologist in Teaneck, New Jersey
1861058372- Practice location
- 185 Cedar Ln Ste U6, Teaneck, NJ 07666-4303
- Phone
- 201-836-3000
- Fax
- —
- Last updated
- April 11, 2023
Gautam Bhasin is a Psychologist based in Teaneck, NJ. Gautam Bhasin practices in Teaneck, NJ and has the professional credentials of PSYD. The NPI Number for Gautam Bhasin is 1861058372 and holds a License No. 023210-1 (NY). The current practice location address for Gautam Bhasin is 185 Cedar Ln Ste U6, Teaneck, NJ 07666-4303 and can be reached out via phone at 201-836-3000.
Provider Profile Details
- NPI Number
- 1861058372
- Provider Name
- Gautam Bhasin
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 185 Cedar Ln Ste U6, Teaneck, NJ 07666-4303
- Phone Number
- 201-836-3000
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 10, 2019
- Last Update Date
- April 11, 2023
- Certification Date
- April 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 185 Cedar Ln Ste U6
Teaneck, NJ 07666-4303 - City
- Teaneck
- State
- New Jersey
- Zip
- 07666-4303
- Phone Number
- 201-836-3000
Provider Business Mailing Address Details
- Address
- 3 University Plz Ste 205
Hackensack, NJ 07601-6208 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6208
License Information
- License Number (1)
- 023210-1
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Rehabilitation · 103TR0400X
- License Number (2)
- 35SI00627400
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Gautam Bhasin, PSYD?
The NPI number of Dr. Gautam Bhasin, PSYD is 1861058372. It was assigned on May 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Gautam Bhasin, PSYD?
Dr. Gautam Bhasin, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 023210-1.
Where does Dr. Gautam Bhasin, PSYD practice?
The practice location is 185 Cedar Ln Ste U6, Teaneck, NJ 07666-4303. The office can be reached at 201-836-3000 (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 1861058372 directly on the NPPES registry website.