Individual provider Active NPI

Jayne Schachter Walco, PH.D.

  • Psychologist
  • Mountain Lakes, NJ
National Provider Identifier
1083733158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3194 Issued in NJ
Practice address
420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1742
Phone
(973) 334-8383
NPI assigned
Mar 28, 2007
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 3194 NJ Primary

Addresses

Primary practice location

420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1742

Mailing address

420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1742
Phone (973) 334-8383

Other names 1

  • Dr. Jayne Ellen Schachter Former name

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
I20140714001118 NJ Practitioner - Clinical Psychologist 9537384292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morris Psychological Group, PAGroup PAC ID 4385621705, 6 clinicians

Practice addresses (Care Compare)

50 Cherry Hill Rd
Parsippany, NJ 07054-1101
Phone (973) 257-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3194NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Psychological Group, PA CurrentSince May 15, 2014 Accepting new patients
Richard B. Dauber, PH.D. Psychologist Past Accepting new patients

Locations

50 Cherry Hill Rd
Ste 305
Parsippany, NJ 07054
Phone (973) 257-9000

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083733158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461742",
            "telephone_number": "973-334-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BOULEVARD",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461742",
            "telephone_number": "973-334-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCO",
        "first_name": "JAYNE",
        "middle_name": "SCHACHTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNE",
            "last_name": "SCHACHTER",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Lakes, NJ

Sources for this page

Verify at the official NPI Registry.