Individual provider Active NPI

Cara Seroy, PHD

  • Counseling Psychologist
  • Somerville, NJ
National Provider Identifier
1033249537
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
35S100391700 Issued in NJ
Practice address
21 E High St
Somerville, NJ 08876-2320
Phone
(908) 595-1333
Fax
(908) 595-1333
NPI assigned
Mar 6, 2007
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 35S100391700 NJ Primary

Addresses

Primary practice location

21 E High St
Somerville, NJ 08876-2320

Mailing address

21 E High St
Somerville, NJ 08876-2320
Phone (908) 595-1333

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
I20110607000056 NJ Practitioner - Clinical Psychologist 1052453602 Practice locations: Somerville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 E High St
Somerville, NJ 08876-2302
Phone (908) 595-1333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100391700NJMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1033249537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762320",
            "telephone_number": "908-595-1333",
            "fax_number": "908-595-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E HIGH ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762320",
            "telephone_number": "908-595-1333",
            "fax_number": "908-595-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEROY",
        "first_name": "CARA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35S100391700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.