Individual provider Active NPI

Amy Cohan Aho, PH.D.

  • Clinical Psychologist
  • Oceanport, NJ
National Provider Identifier
1023030996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2363 Issued in NJ
Practice address
108 Main St
Oceanport, NJ 07757-1030
Phone
(732) 544-0323
Fax
(723) 530-1005
NPI assigned
Jul 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2363 NJ Primary

Addresses

Primary practice location

108 Main St
Oceanport, NJ 07757-1030

Mailing address

108 Main St
Oceanport, NJ 07757-1030
Phone (732) 544-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614001153 NJ Practitioner - Clinical Psychologist 9032153697 Practice locations: Oceanport, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

108 Main St
Oceanport, NJ 07757-1030
Phone (732) 530-1005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2363NJMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023030996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-544-0323",
            "fax_number": "723-530-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-544-0323",
            "fax_number": "723-530-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHO",
        "first_name": "AMY",
        "middle_name": "COHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

Verify at the official NPI Registry.