Individual provider Active NPI

Janine Marie Tremblay, PH.D., APN

  • Clinical Psychologist
  • Morristown, NJ
National Provider Identifier
1356371280
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2005 Issued in NJ
Practice address
150 Madison Ave
Morristown, NJ 07960-6015
Phone
(973) 993-0945
Fax
(973) 898-6675
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2005 NJ Primary
Nurse Practitioner 363L00000X 26NJ00064800 NJ

Addresses

Primary practice location

150 Madison Ave
Morristown, NJ 07960-6015

Mailing address

150 Madison Ave
Morristown, NJ 07960-6015
Phone (973) 993-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050630000443 NJ Practitioner - Clinical Psychologist 8224074190 Reassigns benefits to 1 organization
I20130517000408 NJ Practitioner - Nurse Practitioner 8224074190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Court St
Morristown, NJ 07960-5531
Phone (973) 993-0945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005NJMDClinical Psychologist
26NJ00064800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Janine M Tremblay PHD Apnc Clinical CurrentSince Sep 26, 2012 Accepting new patients
Janine Tremblay, PHD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: janine.tremblayphd@135071.advancedmd-direct.com

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1356371280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606015",
            "telephone_number": "973-993-0945",
            "fax_number": "973-898-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606015",
            "telephone_number": "973-993-0945",
            "fax_number": "973-898-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D., APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "2005",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00064800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.