Jennifer Mayo Ajosa, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

355100584900 Issued in NJ

Practice address

110 Warren Ave Ste 6
Ho Ho Kus, NJ 07423

Phone

(201) 857-5380

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Michelle Mayo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1104335645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WARREN AVE",
            "address_2": "SUITE 6",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "07423",
            "telephone_number": "201-857-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WARREN AVE STE 6",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "07423",
            "telephone_number": "201-857-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJOSA",
        "first_name": "JENNIFER",
        "middle_name": "MAYO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00584900",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "355100584900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MAYO",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "PSY. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Ho Ho Kus, NJ
• Providers in Ho Ho Kus, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.