Individual provider Active NPI

Janet Sotomayor, PH.D.

  • Clinical Psychologist
  • West Caldwell, NJ
National Provider Identifier
1104003250
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017501 Issued in NY
Practice address
41 Beverly Rd
West Caldwell, NJ 07006-6530
Phone
(973) 224-1584
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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 017501 NY Primary

Addresses

Primary practice location

41 Beverly Rd
West Caldwell, NJ 07006-6530

Mailing address

41 Beverly Rd
West Caldwell, NJ 07006-6530
Phone (973) 224-1584

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
I20110325000635 NJ Practitioner - Clinical Psychologist 9335222355 Reassigns benefits to 1 organization
Practice locations: Livingston, NJ; Fairfield, NJ; West Orange, NJ; Roseland, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Pleasant Valley Way
Brighton Gardens of Alf
West Orange, NJ 07052-2997
Phone (973) 224-1584

345 Eagle Rock Ave
The Atria Roseland
Roseland, NJ 07068-1768
Phone (973) 618-1888

47 Greenbrook Rd
Fairfield, NJ 07004-3890
Phone (973) 224-1584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017501NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Group LLC CurrentSince Jul 25, 2014 Accepting new patients

Locations

348 E Cedar St
Livingston, NJ 07039
Phone (973) 251-2772

92 E Main St
Ste 411
Somerville, NJ 08876
Phone (908) 707-9700

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1104003250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BEVERLY RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066530",
            "telephone_number": "973-224-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BEVERLY RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066530",
            "telephone_number": "973-224-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "JANET",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.