Individual provider Active NPI

Rosalind S. Dorlen, PSY.D.

  • Psychologist
  • Summit, NJ
National Provider Identifier
1225110174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100136900 Issued in NJ
Practice address
332 Springfield Ave
Suite 204
Summit, NJ 07901-3658
Phone
(908) 522-1444
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Psychologist 103T00000X 35S100136900 NJ Primary

Addresses

Primary practice location

332 Springfield Ave
Suite 204
Summit, NJ 07901-3658

Mailing address

332 Springfield Avenue
Suite 204
Summit, NJ 07901-3612
Phone (908) 522-1444

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
I20111027000410 NJ Practitioner - Clinical Psychologist 8729251376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

332 Springfield Ave
Suite 204
Summit, NJ 07901-3658
Phone (908) 522-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rosalind S. Dorlen Psy.D Abpp LLC Psychologist CurrentSince Aug 6, 2025 Accepting new patients

Locations

332 Springfield Ave
Ste 204
Summit, NJ 07901
Phone (908) 277-1990

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225110174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SPRINGFIELD AVENUE",
            "address_2": "SUITE 204",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013612",
            "telephone_number": "908-522-1444",
            "fax_number": "908-233-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SPRINGFIELD AVE",
            "address_2": "SUITE 204",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013658",
            "telephone_number": "908-522-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLEN",
        "first_name": "ROSALIND",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100136900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.