Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl W Ziesing, PHD

Individual provider Clinical Neuropsychologist · NPI 1366572174

Carl W Ziesing, PHD is a Clinical Psychologist in West Orange, New Jersey. Qualified in 2004, 22 years ago. Practices with Keith Golin PHD LLC, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
22
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138
Phone: (201) 321-0347
Fax: (302) 422-8697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 35SI00440900 (NJ)

Record details

NPI number1366572174
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESNovember 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Keith Golin Phd Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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