Individual provider Active NPI

Ashley Ann Gorman, PH.D.

  • Clinical Neuropsychologist
  • Parsippany, NJ
National Provider Identifier
1295964567
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35SI00472100 Issued in NJ
Practice address
1719 State RT 10 Ste 310
Parsippany, NJ 07054-4515
Phone
(973) 922-9504
Fax
(973) 869-2370
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 35SI00472100 NJ Primary

Addresses

Primary practice location

1719 State RT 10 Ste 310
Parsippany, NJ 07054-4515

Mailing address

1719 State RT 10 Ste 310
Parsippany, NJ 07054-4515
Phone (973) 922-9504

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
I20091218000010 NJ Practitioner - Clinical Psychologist 8921148263 Reassigns benefits to 1 organization
Practice locations: Parsippany, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1719 State RT
10 Suite 310
Parsippany, NJ 07054-4507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00472100NJMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Psychological Group, PA CurrentSince Dec 7, 2009 Accepting new patients
Richard B. Dauber, PH.D. Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1295964567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 STATE RT 10 STE 310",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544515",
            "telephone_number": "973-922-9504",
            "fax_number": "973-869-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 STATE RT 10 STE 310",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544515",
            "telephone_number": "973-922-9504",
            "fax_number": "973-869-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00472100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.