Individual provider Active NPI

David Scott Kreiss, PSY.D.

  • Clinical Psychologist
  • Red Bank, NJ
National Provider Identifier
1053527127
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4581 Issued in NJ
Practice address
41 Reckless PL
Red Bank, NJ 07701-1703
Phone
(908) 489-5149
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 4581 NJ Primary

Addresses

Primary practice location

41 Reckless PL
Red Bank, NJ 07701-1703

Mailing address

41 Reckless PL
Red Bank, NJ 07701-1703

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
I20210511001186 NJ Practitioner - Clinical Psychologist 9931518560 Practice locations: East Windsor, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 B Princeton Hightstown Rd
East Windsor, NJ 08520-1400
Phone (609) 490-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4581NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Diagnostics, L.L.C. Past Accepting new patients

Organizations & group practices 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1053527127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 RECKLESS PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 RECKLESS PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011703",
            "telephone_number": "908-489-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISS",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.