DR. ANJELICA FAHEY
NPI 1497345201
Psychologist in Cresskill, NJ

Active since January 25, 2021Opted out of Medicare · through Apr 2, 2028
300 KNICKERBOCKER RD STE 2300A, CRESSKILL, NJ 07626(201) 297-9170 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2026, Jan 25, 2021 (2 updates tracked since 2021).

About Dr. Anjelica Fahey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANJELICA FAHEY (NPI 1497345201) is an individual psychologist in Cresskill, New Jersey and active in the NPI registry since January 2021. She has opted out of Medicare through April 2, 2028 and maintains a secondary practice location in Wyckoff.

NPPES Registry Identity

NPI1497345201
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANJELICA FAHEY
Location Address300 KNICKERBOCKER RD STE 2300ACresskill, NJ 07626-1345
Mailing Address93 Walnut StOakland, NJ 07436-2616 · (201) 280-1679
Sole ProprietorYes
Enumeration DateJanuary 25, 2021
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1497345201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
300 KNICKERBOCKER RD STE 2300A, Cresskill, NJ 07626

Secondary Practice Location 1

Location 1239 Madison AveWyckoff, NJ 07481-1948 · Phone (201) 280-1679

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Anjelica Fahey has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2026 through April 2, 2028.

Opt-Out Effective DateApril 2, 2026
Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anjelica Fahey's NPI number?

The NPI number for Anjelica Fahey is 1497345201. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Anjelica Fahey located?

Anjelica Fahey practices at 300 Knickerbocker Rd Ste 2300A, Cresskill, NJ 07626. The listed phone number is (201) 297-9170.

What is Anjelica Fahey's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Anjelica Fahey enrolled in Medicare?

No. Anjelica Fahey has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Anjelica Fahey was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.