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

Dr. Gautam Bhasin, PSYD

Individual provider Rehabilitation Psychologist · NPI 1861058372

Dr. Gautam Bhasin, PSYD is a Clinical Psychologist in Teaneck, New Jersey. Qualified in 2016, 10 years ago. Practices with Holy Name Primary Care and Specialty Associates PC, a 43-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
10
Licensed in
NJ, NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

185 Cedar Ln Ste U6
Teaneck, NJ 07666-4303
Phone: (201) 836-3000
Show map & directions

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

Additional practice locations (1)

  • 354 Old Hook Rd Ste 101, Westwood, NJ 07675-3247 — (201) 358-0400

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 35SI00627400 (NJ)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 023210-1 (NY)

Record details

NPI number1861058372
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 10, 2019
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Holy Name Primary Care And Specialty Associates Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services