Individual provider Active NPI

Karen Ann Tennyson, PH.D.

  • Clinical Neuropsychologist
  • East Orange, NJ
National Provider Identifier
1154530129
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35S100448700 Issued in NJ
Practice address
385 Tremont Ave
Dept. of Veterans Affairs NJ Health Care System
East Orange, NJ 07018-1023
Phone
(813) 784-9882
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 7070 FL
Clinical Neuropsychologist 103G00000X 35S100448700 NJ Primary

Addresses

Primary practice location

385 Tremont Ave
Dept. of Veterans Affairs NJ Health Care System
East Orange, NJ 07018-1023

Mailing address

30 Cattano Ave
Apt. #503
Morristown, NJ 07960-6867
Phone (813) 784-9882

Other names 1

  • Ms. Karen Ann Bejgrowicz Former name

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
I20080303000351 NJ Practitioner - Clinical Psychologist 9931131836 Reassigns benefits to 1 organization

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)

201 Pleasant Hill Rd
Chester, NJ 07930-2141
Phone (973) 556-8462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100448700NJMDClinical Neuropsychologist
PY 7070FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Karen a Tennyson LLC Clinical Neuropsychologist CurrentSince Jul 1, 2018 Accepting new patients
GPS II Past Accepting new patients
John P McDonough III Psychologist PastSince Oct 1, 2004 Accepting new patients

Locations

201 Pleasant Hill Rd
Chester, NJ 07930
Phone (973) 252-6300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1154530129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CATTANO AVE",
            "address_2": "APT. #503",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606867",
            "telephone_number": "813-784-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVE",
            "address_2": "DEPT. OF VETERANS AFFAIRS NJ HEALTH CARE SYSTEM",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181023",
            "telephone_number": "813-784-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7070",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35S100448700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "BEJGROWICZ",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.