Individual provider Active NPI

Viviana G Litovsky, PH.D.

  • Clinical Psychologist
  • Martinsville, NJ
National Provider Identifier
1043265960
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00254600 Issued in NJ
Practice address
792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271
Phone
(732) 356-8855
Fax
(732) 356-0067
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 35SI00254600 NJ Primary

Addresses

Primary practice location

792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271

Mailing address

792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271
Phone (732) 356-8855

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
I20060526000069 NJ Practitioner - Clinical Psychologist 2961413216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

792 Chimney Rock Rd C
Martinsville, NJ 08836-2271
Phone (732) 356-8855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00254600NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Viviana G. Litovsky PH.D. LLC Clinical CurrentSince May 1, 2003 Accepting new patients
Lynette McKeon, Psy.D., LLC Clinical CurrentSince Jan 17, 2021 Accepting new patients

Locations

792 Chimney Rock Rd
Ste C
Martinsville, NJ 08836
Phone (732) 356-8855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1043265960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 CHIMNEY ROCK RD STE C",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362271",
            "telephone_number": "732-356-8855",
            "fax_number": "732-356-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 CHIMNEY ROCK RD STE C",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362271",
            "telephone_number": "732-356-8855",
            "fax_number": "732-356-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITOVSKY",
        "first_name": "VIVIANA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00254600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

Verify at the official NPI Registry.