Gautam Bhasin, PSYD
NPI 1861058372ActiveIndividual· Psychologist· Teaneck, NJ
Psychologist (PSYD) with Holy Name Primary Care and Specialty Associates PC, practicing in Teaneck, New Jersey. Medicare paid $15,162 for services to 14 patients in 2024.
Overview
| NPI | 1861058372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | May 10, 2019 |
| Last updated in NPPES | Apr 11, 2023 |
| Certified by provider | Apr 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 35SI00627400 | NJ |
| Psychologist, Rehabilitation | 103TR0400X | 023210-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 184 across 5 procedure codes |
| Paid by Medicare | $15,162 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Holy Name Primary Care and Specialty Associates PCTeaneck, NJ · 47 clinicians
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