DR. DAVID S. MACISAAC PH.D.
NPI 1689770307
Psychologist - Psychoanalysis in Englewood, NJ

Active since September 16, 2006Opted out of Medicare · through Apr 20, 2028
163 ENGLE ST STE 1A, ENGLEWOOD, NJ 07631(201) 569-0566 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David S. Macisaac Ph.d. NPPES

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

DR. DAVID S. MACISAAC PH.D. (NPI 1689770307) is an individual psychoanalysis provider in Englewood, New Jersey, licensed in New Jersey (35S100128700) and active in the NPI registry since September 2006. He has opted out of Medicare through April 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689770307
Entity TypeIndividualMale
Primary Taxonomy103TP0814X
Provider Legal NameDR. DAVID S. MACISAACCredential: PH.D.
Location Address163 ENGLE ST STE 1AEnglewood, NJ 07631-2530
Mailing Address163 Engle St Ste 1aEnglewood, NJ 07631-2530 · (201) 569-0566
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689770307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
License Licensed in NJ · 35S100128700
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
163 ENGLE ST STE 1A, Englewood, NJ 07631

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. David S. Macisaac Ph.d. 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 20, 2006 through April 20, 2028.

Opt-Out Effective DateApril 20, 2006
Opt-Out In Effect ThroughApril 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
163 ENGLE ST STE 1A
ENGLEWOOD, NJ 07631
Psychiatry & Neurology (Psychiatry)
163 ENGLE ST STE 1A
ENGLEWOOD, NJ 07631
Social Worker (Clinical)
163 ENGLE ST STE 1A
ENGLEWOOD, NJ 07631

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 David Macisaac's NPI number?

The NPI number for David Macisaac is 1689770307. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is David Macisaac located?

David Macisaac practices at 163 Engle St Ste 1A, Englewood, NJ 07631. The listed phone number is (201) 569-0566.

What is David Macisaac's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is David Macisaac enrolled in Medicare?

No. David Macisaac has opted out of Medicare through April 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Macisaac was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.