Active NPI
Nancy R. Hicks, PSY.D.
- Psychologist
- Metuchen, NJ
National Provider Identifier
1275675845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35S100287300
- Practice address
- 296 Amboy Ave
Metuchen, NJ 08840-2471 - Phone
- (732) 548-2566
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35S100287300 | NJ | Primary |
Addresses
Primary practice location
296 Amboy Ave
Metuchen, NJ 08840-2471
Mailing address
296 Amboy Ave
Metuchen, NJ 08840-2471
Phone (732) 548-2566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050523000971 | NJ | Practitioner - Clinical Psychologist | 7315989175 | Practice locations: Califon, NJ |
| I20100325000308 | NY | Practitioner - Clinical Psychologist | 7315989175 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
55 Hollow Brook Rd
Califon, NJ 07830-3116
Phone (908) 578-2475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100287300 | NJ | MD | Psychologist |
| 011678 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275675845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402471",
"telephone_number": "732-548-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 AMBOY AVE",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402471",
"telephone_number": "732-548-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "NANCY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35S100287300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.