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

Individual provider Clinical Psychologist · NPI 1275576308

Dr. John Robert Corbisiero, PHD is a Clinical Psychologist in Ridgewood, New Jersey. Qualified in 1988, 38 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
38
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

179 S Maple Ave
Ridgewood, NJ 07450-4541
Phone: (201) 445-0662
Fax: (201) 445-9073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2586 (NJ)

Record details

NPI number1275576308
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 15, 2014
Mailing address179 S Maple Ave, Ridgewood, NJ 07450-4541

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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