Active NPI
Karin Gepp, PSY.D.
- Clinical Psychologist
- Fort Lee, NJ
National Provider Identifier
1295204550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 183087
- Practice address
- 440 West St Ste 312
Fort Lee, NJ 07024-5028 - Phone
- (888) 242-2732
- NPI assigned
- Nov 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 183087 | NJ | Primary |
Addresses
Primary practice location
440 West St Ste 312
Fort Lee, NJ 07024-5028
Mailing address
288 Wadsworth Ave Apt 3
New York, NY 10040-4401
Phone (315) 209-9253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183087 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avita Integrative Care, LLC | Clinical | Past | Accepting new patients |
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": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1295204550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 WADSWORTH AVE APT 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404401",
"telephone_number": "315-209-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WEST ST STE 312",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245028",
"telephone_number": "888-242-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEPP",
"first_name": "KARIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "183087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.