Helen A Demetriades, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

44SC05162600 Issued in NJ

Practice address

1617 Beaver Dam Rd
Dba Bridge Mental Health
PT Pleasant, NJ 08742-5106

Phone

(732) 701-8400

Fax

(732) 701-8419

NPI assigned

Sep 26, 2006

Last updated

Oct 26, 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

Columbia University College of Physicians and Surgeons, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee G. Ruszczyk, LCSW

  • Clinical Social Worker
  • Howell, NJ
  • NPI 1780747451
  Medicare reassignment
• Madeline Skalitza, LCSW

  • Clinical Social Worker
  • Lakewood, NJ
  • NPI 1831288455
  Medicare reassignment
• Susan P Talty, MSW, LCSW

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1467892083
  Medicare reassignment
• Janet Wolff, MSW, LCSW

  • Social Worker
  • Ocean, NJ
  • NPI 1093113185
  Medicare reassignment

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.

• Bridge Mental Health

  • Social Worker
  • Point Pleasant, NJ
  • NPI 1235553249

  Psychologist

  NPD (past) Authorized official
• Neuropsychology & Counseling Associates, LLC

  • Clinical Neuropsychologist
  • Brick, NJ
  • NPI 1033213251
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1235230608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 BEAVER DAM RD",
            "city": "PT PLEASANT",
            "state": "NJ",
            "postal_code": "087425106",
            "telephone_number": "732-701-8400",
            "fax_number": "732-701-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 BEAVER DAM RD",
            "address_2": "DBA BRIDGE MENTAL HEALTH",
            "city": "PT PLEASANT",
            "state": "NJ",
            "postal_code": "087425106",
            "telephone_number": "732-701-8400",
            "fax_number": "732-701-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIADES",
        "first_name": "HELEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "44SC05162600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Dental Sleep Medicine and TMJ of South Jersey LLC
• Patricia C. Berkowitz, APN
• Vincent Caputo, RPH
• Terrance M Coleman, D.C.
• Martha Hale, REGISTERED DIETITIAN
• Jersey Shore Podiatric Associates
• Kinematic Consultants Inc
• Kristine J. Lenkiewicz, P.T.
• Keith Malinowski, D.C.

• Psychologist in PT Pleasant, NJ
• Providers in PT Pleasant, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.