Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184812513 Individual Practitioner Female Practitioner

Mala Datta , PH, D

Psychologist • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Mala Datta, PH, D is a registered healthcare professional specializing in Psychologist in Hackensack, NJ. Practice services are available at 294-298 STATE ST STE 1 under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

294-298 State St Ste 1

Hackensack, NJ 076015544

Telephone 2019529905

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 31.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Hackensack, NJ (1608 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
155 12 $150.00 $98.92

Medical Specialties & State Licenses

CMS Verified: 2023-11-06
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 01271101

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License NJ 35S100543600

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License NY 012711

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nys License
01271101 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Samyadev Datta , MD

Anesthesiology - Pain Medicine

NPI 1497778005

Doctor of Medicine (M.D.)

Janine Marti , NP-C

Nurse Practitioner - Occupational Health

NPI 1568918852

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 06, 2023

Registered at 294-298 STATE ST STE 1, HACKENSACK, NJ 076015544 (Tel: 2019529905)

📍
Updated Business Mailing Address November 06, 2023

Registered at 259 MASSACHUSETTS AVE STE 1, HAWORTH, NJ 076411808 (Tel: 2019529905)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2023

Psychologist (License #35S100543600 in NJ)

NPI Profile Active February 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2013

Registered at 12A N AIRMONT RD, SUITE 1, AIRMONT, NY 109015152 (Tel: 8453697627)

📍
Updated Business Mailing Address February 01, 2013

Registered at 12A N AIRMONT RD, SUITE 1, AIRMONT, NY 109015152 (Tel: 8453697627)

👤
Provider Name / Credentials Updated February 01, 2013

Recorded as MALA DATTA, PH.,D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2013

Psychologist (License #01271101 in NY)

🟢
Initial NPI Registration & Enumeration October 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184812513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2007
Last Update: November 06, 2023
Sole Proprietor: Yes

Mailing Address

259 Massachusetts Ave Ste 1

Haworth, NJ 076411808

Phone: 2019529905

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.