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Deactivated NPI 1003824947 Deactivated / Inactive NPI Male Practitioner

Dr. Neil B Wilson , PhD

Psychologist • Teaneck, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Neil Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2006
NPI Deactivation Date October 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Neil Wilson, PhD was a registered Psychologist practicing in Teaneck, NJ. Throughout an active medical career spanning 17 years, Dr. Wilson provided care at the practice location at 800 CATALPA AVE until profile deactivation on 2023-10-13.

Practice Location & Contact Primary Location

Practice Address

800 Catalpa Ave

Teaneck, NJ 07666

Telephone 2018361065
Fax 2018363902
Associated Practice Facility / Clinic
🏢 Positive Parenting L.l.c. Facility NPI 1831925544

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Teaneck, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 31.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Teaneck, NJ (1608 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NJ 818

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Anthony Breit , LCSW

Social Worker - Clinical

NPI 1548920093

Licensed Clinical Social Worker

Lynn Seipser , LCSW

Social Worker - Clinical

NPI 1669502738

Licensed Clinical Social Worker

David Gruskin , LCSW

Social Worker - Clinical

NPI 1699439554

Licensed Clinical Social Worker

NPI 1770927816

Doctor of Philosophy (Ph.D.), NCPSYA

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 13, 2023

Record deactivated on October 13, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 800 CATALPA AVE, TEANECK, NJ 07666 (Tel: 2018361065)

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Updated Business Mailing Address July 08, 2007

Registered at 800 CATALPA AVE, TEANECK, NJ 07666 (Tel: 2018361065)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NEIL WILSON, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #818 in NJ)

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Initial NPI Registration & Enumeration August 04, 2006

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: 1003824947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: July 08, 2007
Deactivation Date: October 13, 2023

Mailing Address

800 Catalpa Ave

Teaneck, NJ 07666

Phone: 2018361065

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

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