Individual provider Active NPI

Susan S. Neigher, PH.D.

  • Psychologist
  • Randolph, NJ
National Provider Identifier
1346337243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
SI01337 Issued in NJ
Practice address
1201 Sussex Tpke
Suite 104C
Randolph, NJ 07869-2974
Phone
(973) 895-4422
Fax
(973) 895-4419
NPI assigned
Oct 10, 2006
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 SI01337 NJ Primary

Addresses

Primary practice location

1201 Sussex Tpke
Suite 104C
Randolph, NJ 07869-2974

Mailing address

1201 Sussex Tpke
Suite 104C
Randolph, NJ 07869-2974
Phone (973) 895-4422

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
I20050901000909 NJ Practitioner - Clinical Psychologist 0941232649 Practice locations: Chester, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Mile Dr
Chester, NJ 07930-2805
Phone (973) 556-7040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SI01337NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346337243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUSSEX TPKE",
            "address_2": "SUITE 104C",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692974",
            "telephone_number": "973-895-4422",
            "fax_number": "973-895-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUSSEX TPKE",
            "address_2": "SUITE 104C",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692974",
            "telephone_number": "973-895-4422",
            "fax_number": "973-895-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGHER",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "SI01337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.