Organization provider

AVICENNA MEDICAL CENTER

Prescribing (Medical) Psychologist

AVICENNA MEDICAL CENTER is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073904801, based in Montclair, NJ. It is classified under Prescribing (Medical) Psychologist.

Getting there

The practice address on file is 129 VALLEY RD 2ND FLOOR, Montclair, NJ 07042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

129 VALLEY RD 2ND FLOOR, Montclair, NJ 07042 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MB07627000 NJ Prescribing (Medical) Psychologist primary

This provider holds licence 25MB07627000 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Prescribing (Medical) covers

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. NUCC Health Care Provider Taxonomy, code 103TP0016X
Behavioral Health & Social Service Providers Psychologist Prescribing (Medical)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1073904801 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 16, 2015
Last updatedFeb 16, 2015
StatusActive
Practice address 129 VALLEY RD
2ND FLOOR
Montclair, NJ 07042
(973) 746-2620
Fax (973) 746-2579
This record was last updated on Feb 16, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1073904801 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 9 0 4 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 9 0 8 8 0

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073904801?
NPI 1073904801 is the National Provider Identifier assigned to AVICENNA MEDICAL CENTER in Montclair, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Prescribing (Medical) cover?
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state…
How do I contact AVICENNA MEDICAL CENTER?
The phone number on file with NPPES is (973) 746-2620, last updated Feb 16, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1073904801 a valid number?
Yes. 1073904801 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.