Individual provider Active NPI

Julia Jane Hart Dewey, PH.D.

  • Psychologist
  • East Amherst, NY
National Provider Identifier
1023394772
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019791-1 Issued in NY
Practice address
6507 Transit Rd Ste B
East Amherst, NY 14051-1427
Phone
(917) 971-5263
Fax
(716) 204-2761
NPI assigned
Oct 26, 2011
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019791-1 NY Primary

Addresses

Primary practice location

6507 Transit Rd Ste B
East Amherst, NY 14051-1427

Mailing address

6507 Transit Rd Ste B
East Amherst, NY 14051-1427
Phone (917) 971-5263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210421000097 NY Practitioner - Clinical Psychologist 3870883093 Practice locations: East Amherst, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019791-1NYMDSpeech-Language Pathologist
019791NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Om Psychological Services CurrentSince Nov 30, 2025 Accepting new patients
Mary Jo Penizotto, PHD PastSince Feb 8, 2023 Accepting new patients

Locations

482 Springfield Ave
Fl 2
Summit, NJ 07901
Phone (908) 273-5558

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": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1023394772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD STE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "917-971-5263",
            "fax_number": "716-204-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD STE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "917-971-5263",
            "fax_number": "716-204-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "JULIA JANE",
        "middle_name": "HART",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019791-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.