Joseph A. Demeyer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI001897 Issued in NJ

Practice address

1330 Hamburg Tpke
Wayne, NJ 07470-4057

Phone

(973) 696-8554

Fax

(908) 756-2283

NPI assigned

Dec 19, 2006

Last updated

Oct 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Joseph a Demeyer PH PC

  • Community/Behavioral Health Agency
  • Scotch Plains, NJ
  • NPI 1760985881
  NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1184788903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704057",
            "telephone_number": "973-696-8554",
            "fax_number": "908-756-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704057",
            "telephone_number": "973-696-8554",
            "fax_number": "908-756-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEYER",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI001897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3808009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marva Degazon
• Allison Degroot, LCSW
• Allison Deguchi
• Brianna Deluccia
• Diane Elizabeth Dematteo-Szott
• William Demio IV, DC
• Zachary Deneen, DPT
• Peter Hart Denoble, M.D.
• Shaghayegh Moghaddam Denoble, M.D.
• Department of Special Education of the Roman Catholic Diocese of Pater (Department for Persons with Disabilities, Diocese of Paterson)

• Clinical Psychologist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.