Corinne Cecile Datchi, PHD, ABPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00535000 Issued in NJ

Practice address

35 Deforest Ave
Summit, NJ 07901-2155

Phone

(812) 360-5143

NPI assigned

Jul 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Datchi Psychology and Consulting LLC

  • Psychologist
  • Summit, NJ
  • NPI 1255708822
  NPD Authorized official

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

{
    "created_epoch": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435968000000",
    "number": "1194108498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 PLEASANT VALLEY WAY",
            "address_2": "UNIT 15",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521300",
            "telephone_number": "812-360-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DEFOREST AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012155",
            "telephone_number": "812-360-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATCHI",
        "first_name": "CORINNE",
        "middle_name": "CECILE",
        "credential": "PHD, ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-04",
        "last_updated": "2015-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00535000",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": "ABPP # 7521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Butensky DMD, Inc.
• David Daniels, MD
• Luciana Silberman Daniels, DDS
• Jodie Darling, M.S. RD
• Datchi Psychology and Consulting LLC
• Nicole Rohinton Daver, DO
• Jose A Davila-Collazo, DDS
• Joanne Erin Davine-Reicher, M.D
• Lawrence De Angelis, MD
• Ellen De Havilland, MT-BC

• Psychologist in Summit, NJ
• Providers in Summit, 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 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.