Michael Steven Keren, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00332500 Issued in NJ

Practice address

Summit Psychological Services
482 Springfield Avenue
Summit, NJ 07901

Phone

(908) 273-5558

Fax

(908) 273-3355

NPI assigned

Apr 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Psychological Services PAGroup PAC ID 9032213483, 12 clinicians

Om Psychological ServicesGroup PAC ID 0446731178, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  Medicare reassignment Care Compare group NPD
• Summit Psychological Services PA

  • Psychologist
  • Summit, NJ
  • NPI 1992893317
  Medicare reassignment Care Compare group NPD
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1376717827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUMMIT PSYCHOLOGICAL SERVICES",
            "address_2": "482 SPRINGFIELD AVENUE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-273-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUMMIT PSYCHOLOGICAL SERVICES",
            "address_2": "482 SPRINGFIELD AVENUE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEREN",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00332500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Kayne, SLP
• Kristen Kelleher, ATC
• Alyssa Rose Kellish, PT, DPT, OCS
• Alaina Marie Kelly, LCSW
• Moira E Kendra, NPC
• Paul David Kesselman
• Sydney Michelle Kessler, APN
• Joseph William Keyser, M.D.
• Asim Ali Khan, M.D.
• Noore-Sabah Khan

• Clinical Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.