Individual provider Active NPI

Kaye Ramirez, PSYD

  • Clinical Psychologist
  • New Brunswick, NJ
National Provider Identifier
1265080345
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00684600 Issued in NJ
Practice address
335 George St Ste 191
New Brunswick, NJ 08901-2036
Phone
(732) 640-8501
NPI assigned
Aug 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071010542 IL
Clinical Psychologist 103TC0700X 35SI00684600 NJ Primary

Addresses

Primary practice location

335 George St Ste 191
New Brunswick, NJ 08901-2036

Mailing address

335 George St Ste 191
New Brunswick, NJ 08901-2036
Phone (732) 640-8501

Other practice location 1

3448 W Diversey Ave
Chicago, IL 60647-9740
Phone (312) 566-7887

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Evanston
CONNECT URL NewBrunswick

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 20, 2023 through Jan 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071010542ILMDClinical Psychologist
35SI00684600NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Brunswick Therapy Clinical CurrentSince Nov 20, 2022 Accepting new patients

Locations

335 George St
Ste 191
New Brunswick, NJ 08901
Phone (732) 640-8501

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": "1567209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1265080345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GEORGE ST STE 191",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012036",
            "telephone_number": "732-640-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GEORGE ST STE 191",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012036",
            "telephone_number": "732-640-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3448 W Diversey Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606479740",
            "country_code": "US",
            "telephone_number": "312-566-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-31",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010542",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00684600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Evanston",
            "affiliation": "N",
            "address_1": "3448 W Diversey Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606479740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NewBrunswick",
            "affiliation": "N",
            "address_1": "335 George St Ste 191",
            "city": "New Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "089012036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.