Individual provider Active NPI

Joanne R Vannest, PH.D.

  • Clinical Psychologist
  • Livingston, NJ
National Provider Identifier
1245336460
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00318300 Issued in NJ
Practice address
22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5604
Phone
(973) 994-3145
Fax
(973) 994-9152
NPI assigned
Sep 15, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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 35SI00318300 NJ Primary

Addresses

Primary practice location

22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5604

Mailing address

22 Old Short Hills Rd
Suite 216
Livingston, NJ 07039-5604
Phone (973) 994-3145

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
I20050629000442 NJ Practitioner - Clinical Psychologist 1052357167 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00318300NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Psychological Group, PA Clinical CurrentSince Apr 1, 2016 Accepting new patients
Richard B. Dauber, PH.D. PastSince Apr 1, 2016 Accepting new patients

Locations

50 Cherry Hill Rd
Ste 305
Parsippany, NJ 07054
Phone (973) 257-9000

Organizations & group practices 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1245336460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 216",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-3145",
            "fax_number": "973-994-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD",
            "address_2": "SUITE 216",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395604",
            "telephone_number": "973-994-3145",
            "fax_number": "973-994-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNEST",
        "first_name": "JOANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00318300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.