Individual provider Active NPI

Jessica M Corrigan, PSYD

  • Psychologist
  • Princeton, NJ
National Provider Identifier
1235800764
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
281 Witherspoon St Ste 230
Princeton, NJ 08540-3228
Phone
(609) 895-1070
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

281 Witherspoon St Ste 230
Princeton, NJ 08540-3228

Mailing address

100 Ryders LN Ste 120
Milltown, NJ 08850-1263
Phone (973) 610-8909

Other practice location 1

100 Ryders Ln Ste 120
Milltown, NJ 08850-1263
Phone (973) 610-8909

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
I20211103001608 NJ Practitioner - Clinical Psychologist 9032507439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Cedar LN
Milltown, NJ 08850-1345
Phone (973) 671-8909

100 Ryders Lane
Suite 120
Milltown, NJ 08850-1263

100 Ryders LN
Suite 120
Milltown, NJ 08850-1263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Space Between Therapy & Comprehensive Psychological Services, LLC CurrentSince Nov 2, 2023 Accepting new patients

Locations

100 Ryders Ln
Ste 120
Milltown, NJ 08850
Phone (973) 610-8909

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1235800764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RYDERS LN STE 120",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501263",
            "telephone_number": "973-610-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WITHERSPOON ST STE 230",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403228",
            "telephone_number": "609-895-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ryders Ln Ste 120",
            "address_purpose": "LOCATION",
            "city": "Milltown",
            "state": "NJ",
            "postal_code": "088501263",
            "country_code": "US",
            "telephone_number": "973-610-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.