Individual provider Active NPI

Laurie Ann Schlussel, PH.D.

  • Psychologist
  • East Brunswick, NJ
National Provider Identifier
1093011272
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3411 Issued in NJ
Practice address
B1 Cornwall Dr
East Brunswick, NJ 08816-3361
Phone
(908) 420-6923
Fax
(908) 420-6923
NPI assigned
Feb 4, 2011
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3411 NJ Primary

Addresses

Primary practice location

B1 Cornwall Dr
East Brunswick, NJ 08816-3361

Mailing address

B1 Cornwall Dr
East Brunswick, NJ 08816-3361
Phone (908) 420-6923

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
I20121207000268 NJ Practitioner - Clinical Psychologist 8426200908 Reassigns benefits to 1 organization
Practice locations: East Brunswick, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B1 Cornwall Dr
East Brunswick, NJ 08816-3361
Phone (732) 658-0569

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3411NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1093011272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B1 CORNWALL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163361",
            "telephone_number": "908-420-6923",
            "fax_number": "908-420-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B1 CORNWALL DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163361",
            "telephone_number": "908-420-6923",
            "fax_number": "908-420-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLUSSEL",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.