DANIEL JOSEPH POTOCZNIAK PH.D.
NPI 1700022399
Psychologist in Wall Township, NJ

Active since January 02, 2009PECOS EnrolledAccepts Medicare Assignment
1985 STATE ROUTE 34 STE A3, WALL TOWNSHIP, NJ 07719(215) 384-8624 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Jan 13, 2021, May 13, 2016 (3 updates tracked since 2016).

About Daniel Joseph Potoczniak Ph.d. NPPES

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

DANIEL JOSEPH POTOCZNIAK PH.D. (NPI 1700022399) is an individual psychologist in Wall Township, New Jersey, licensed in New Jersey (35SI00594800) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700022399
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDANIEL JOSEPH POTOCZNIAKCredential: PH.D.
Location Address1985 STATE ROUTE 34 STE A3Wall Township, NJ 07719-9101
Mailing Address404 Grassmere AveInterlaken, NJ 07712-4313 · (215) 817-8738 · Fax (215) 554-6966
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 2, 2009
Last NPPES UpdateNovember 29, 20223 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
NPI 1700022399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in NJ · 35SI00594800 Licensed in PA · PS016537
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.
1985 STATE ROUTE 34 STE A3, Wall Township, NJ 07719

Secondary Practice Location 1

Location 11845 Walnut St Ste 653Philadelphia, PA 19103-4718 · Phone (215) 384-8624

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Joseph Potoczniak Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284931817
PECOS Enrollment IDI20221221002338
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Social Worker
1985 STATE ROUTE 34 STE A3
WALL TOWNSHIP, NJ 07719

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 Daniel Potoczniak's NPI number?

The NPI number for Daniel Potoczniak is 1700022399. It was assigned to this individual provider in the NPPES registry on January 2, 2009.

Where is Daniel Potoczniak located?

Daniel Potoczniak practices at 1985 State Route 34 Ste A3, Wall Township, NJ 07719. The listed phone number is (215) 384-8624.

What is Daniel Potoczniak's specialty?

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

Is Daniel Potoczniak enrolled in Medicare?

Yes. Daniel Potoczniak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Potoczniak was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.