Dr Carrie Ditzel, PHD | |
601 Flaghouse Dr, Hasbrouck Heights, NJ 07604-3118 | |
(201) 381-6136 | |
(201) 660-8271 |
Full Name | Dr Carrie Ditzel |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 19 Years |
Location | 601 Flaghouse Dr, Hasbrouck Heights, New Jersey |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093983850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0174721 (New York) | Secondary |
103T00000X | Psychologist | 4937 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baker Street Behavioral Health | 3476945098 | 4 |
Entity Name | Baker Street Behavioral Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659841096 PECOS PAC ID: 3476945098 Enrollment ID: O20220111002111 |
Mailing Address | Practice Location Address |
---|---|
Dr Carrie Ditzel, PHD 851 Franklin Lake Rd Ste 204, Franklin Lakes, NJ 07417-2267 Ph: () - | Dr Carrie Ditzel, PHD 601 Flaghouse Dr, Hasbrouck Heights, NJ 07604-3118 Ph: (201) 381-6136 |
Gerard Vaccarella Jr., PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 248 Boulevard, Hasbrouck Heights, NJ 07604 Phone: 201-288-4611 Fax: 201-288-8107 | |
Akruti Patel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 420 Terrace Ave, Hasbrouck Heights, NJ 07604 Phone: 201-783-5557 | |
Brielle Marino, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 154 Washington Pl, Hasbrouck Heights, NJ 07604 Phone: 201-952-4544 |