NPIMap

Individual provider Active NPI

Lucille Carr-Kaffashan, PH.D.

  • Clinical Psychologist
  • Somerset, NJ
National Provider Identifier
1154478519
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00149500 Issued in NJ
Practice address
97 Cedar Grove LN
Suite 203
Somerset, NJ 08873-1377
Phone
(732) 469-7525
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 35SI00149500 NJ Primary

Addresses

Primary practice location

97 Cedar Grove LN
Suite 203
Somerset, NJ 08873-1377

Mailing address

97 Cedar Grove LN
Suite 203
Somerset, NJ 08873-1377
Phone (732) 469-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Eldercare PC Past Accepting new patients
Anxiety & Depression Treatment Center LLC Past Accepting new patients
Carefirst LLC Past Accepting new patients
Robert Wood Johnson Physician Enterprise PastSince Dec 11, 2014 Accepting new patients

Organizations & group practices 4

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1154478519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CEDAR GROVE LN",
            "address_2": "SUITE 203",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731377",
            "telephone_number": "732-469-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CEDAR GROVE LN",
            "address_2": "SUITE 203",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731377",
            "telephone_number": "732-469-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR-KAFFASHAN",
        "first_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00149500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.