Individual provider Active NPI

Cathy M. West, PH.D.

  • Psychologist
  • Summit, NJ
National Provider Identifier
1023160801
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100118600 Issued in NJ
Practice address
21 Upper Drive
Summit, NJ 07901-4137
Phone
(908) 464-0107
Fax
(908) 464-0851
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100118600 NJ Primary

Addresses

Primary practice location

21 Upper Drive
Summit, NJ 07901-4137

Mailing address

21 Upper Drive
Summit, NJ 07901-4137
Phone (908) 464-0107

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
I20050421000123 NJ Practitioner - Clinical Psychologist 6709824691 Practice locations: Summit, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Upper Dr
Summit, NJ 07901-4137
Phone (908) 464-0107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100118600NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Youth & Family Counseling Service Inc Past Accepting new patients
Youth & Family Counseling Service Inc PastSince Dec 10, 1991 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1023160801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPPER DRIVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014137",
            "telephone_number": "908-464-0107",
            "fax_number": "908-464-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER DRIVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079014137",
            "telephone_number": "908-464-0107",
            "fax_number": "908-464-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CATHY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100118600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.