Individual provider Active NPI

Sharon Lynn Rauschenberger, PH.D.

  • Psychologist
  • Clinton, NJ
National Provider Identifier
1295957272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI 003679 Issued in NJ
Practice address
6 Leigh St
Clinton, NJ 08809-1310
Phone
(908) 730-9019
Fax
(908) 730-6881
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SI 003679 NJ Primary

Addresses

Primary practice location

6 Leigh St
Clinton, NJ 08809-1310

Mailing address

210 Fox Hollow Rd
Glen Gardner, NJ 08826-3201
Phone (908) 638-5624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 18, 2014 through Jun 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SI 003679NJMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295957272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FOX HOLLOW RD",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263201",
            "telephone_number": "908-638-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LEIGH ST",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091310",
            "telephone_number": "908-730-9019",
            "fax_number": "908-730-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHENBERGER",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI 003679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.