Individual provider Active NPI

Rachel Modiano, PSY.D.

  • Psychologist
  • Somerset, NJ
National Provider Identifier
1083628945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100248000 Issued in NJ
Practice address
710 Easton Ave
Somerset, NJ 08873-1855
Phone
(732) 828-4622
Fax
(732) 828-0255
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35S100248000 NJ Primary

Addresses

Primary practice location

710 Easton Ave
Somerset, NJ 08873-1855

Mailing address

710 Easton Ave
Somerset, NJ 08873-1855
Phone (732) 828-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

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

Practice addresses (Care Compare)

500 Demott Lane Box
Suite 5865
Somerset, NJ 08875-7043

500 Demott Lane Unit
Suite 5865
Somerset, NJ 08875-7043

500 Demott LN
Unit 5865
Somerset, NJ 08875-7043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100248000NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083628945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731855",
            "telephone_number": "732-828-4622",
            "fax_number": "732-828-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 EASTON AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731855",
            "telephone_number": "732-828-4622",
            "fax_number": "732-828-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODIANO",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100248000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.