Provider Demographics
NPI:1336395995
Name:SCHIFFMAN, DARIN D (PSYD)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:D
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SCENIC CT
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3481
Mailing Address - Country:US
Mailing Address - Phone:201-725-1620
Mailing Address - Fax:
Practice Address - Street 1:88 WEST GRAND STREET
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1446
Practice Address - Country:US
Practice Address - Phone:201-725-1620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4562103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0172367Medicaid
NJ130221Medicare PIN