Jennifer Fine McDermut, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00382100 Issued in NJ

Practice address

30 Riveredge Rd
Tenafly, NJ 07670-3211

Phone

(201) 567-3890

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1194962688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RIVEREDGE RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703211",
            "telephone_number": "201-567-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RIVEREDGE RD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076703211",
            "telephone_number": "201-567-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMUT",
        "first_name": "JENNIFER",
        "middle_name": "FINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00382100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross M Markowitz
• Michelle Marom, LSW
• Emanuel Martinez, PA
• Priya Mathews, DPT
• Kasey Ann McBain, M.A., B.C.B.A.
• Dellshone Tyrece McKenzie
• Sarah McNamara, LCSW
• Medical Monitoring USA, LLC.
• Christopher Mark Mele, MD
• Paul Joseph Melone, DMD

• Clinical Psychologist in Tenafly, NJ
• Providers in Tenafly, 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 Jan 21, 2009; 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.