Individual provider Active NPI

Radha Bhatia, PH.D.

  • Clinical Psychologist
  • Cedar Grove, NJ
National Provider Identifier
1215969324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35 SI 00333700 Issued in NJ
Practice address
908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263
Phone
(973) 239-0024
Fax
(973) 629-1616
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35 SI 00333700 NJ Primary

Addresses

Primary practice location

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263

Mailing address

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263
Phone (973) 239-0024

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
I20050524000264 NJ Practitioner - Clinical Psychologist 4981646619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Value Life Psychological Services LLCGroup PAC ID 0941213052, 2 clinicians

Practice addresses (Care Compare)

110 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-6600

1140 Black Oak Ridge Rd
Wayne, NJ 07470-6347
Phone (973) 835-7443

250 Bloomfield Ave
Bloomfield, NJ 07003-5689
Phone (973) 743-0792

493 Black Oak Ridge Rd
Wayne, NJ 07470-6501
Phone (973) 692-9500

908 Pompton Ave
Suite B2
Cedar Grove, NJ 07009-1263
Phone (973) 239-0024

Merit-based Incentive Payment System (MIPS)

Final score
94.33 of 100Reported as individual
Quality
76.67
Improvement activities
40
Cost
85.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 SI 00333700NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Value Life Psychological Services, LLC Clinical CurrentSince May 1, 2006 Accepting new patients

Locations

16 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-2410

250 Bloomfield Ave
Bloomfield, NJ 07003
Phone (973) 743-0792

536 Ridge Rd
Cedar Grove, NJ 07009
Phone (973) 239-9300

398 Pompton Ave
Cedar Grove, NJ 07009
Phone (201) 647-8035

908 Pompton Ave
Ste B2
Cedar Grove, NJ 07009
Phone (973) 239-0024

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

140 Park Ave
East Orange, NJ 07017
Phone (888) 444-5996

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

2020 State Route 23
Wayne, NJ 07470
Phone (973) 305-8400

820 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 736-6426

787 Northfield Ave
West Orange, NJ 07052
Phone (973) 522-0008

Organizations & group practices 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215969324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-239-0024",
            "fax_number": "973-629-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-239-0024",
            "fax_number": "973-629-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "RADHA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35 SI 00333700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.