Individual provider Active NPI

Barbara Couvadelli, PHD

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1104102490
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0193371 Issued in NY
Practice address
5030 Broadway
Suite 809
New York, NY 10034-1609
Phone
(469) 693-2757
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0193371 NY Primary

Addresses

Primary practice location

5030 Broadway
Suite 809
New York, NY 10034-1609

Mailing address

417 Hidden Valley Dr
Edison, NJ 08820-3491
Phone (469) 693-2757

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
I20151214001809 NJ Practitioner - Clinical Psychologist 7719136969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Middlesex Tpke
Suite 306a
Iselin, NJ 08830-2033
Phone (800) 240-1038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0193371NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Psychology Practice LLC Clinical Neuropsychologist CurrentSince Oct 13, 2015 Accepting new patients
Chowdhrey Neurology PLLC Past Accepting new patients
Neuro-Psychology Practice PLLC Clinical Neuropsychologist Past Accepting new patients

Locations

200 Middlesex Tpke
#S306A
Iselin, NJ 08830

200 Middlesex Tpke
Ste 306A
Iselin, NJ 08830
Phone (800) 240-1038

Organizations & group practices 3

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": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1104102490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIDDEN VALLEY DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203491",
            "telephone_number": "469-693-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY",
            "address_2": "SUITE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341609",
            "telephone_number": "469-693-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVADELLI",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "0193371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.