Active NPI
Jayna Ewald, PHD
- Clinical Neuropsychologist
- Wyckoff, NJ
National Provider Identifier
1386494482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 35SI00815200
- Practice address
- 234 Madison Ave
Wyckoff, NJ 07481-1949 - Phone
- (201) 252-2528
- NPI assigned
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35SI00815200 | NJ | Primary |
| Clinical Neuropsychologist | 103G00000X | PSY10000889 | MA |
Addresses
Primary practice location
234 Madison Ave
Wyckoff, NJ 07481-1949
Mailing address
234 Madison Ave
Wyckoff, NJ 07481-1949
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Neuropsychological Services, LLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
687 Highland Ave
Ste 2
Needham Heights, MA 02494
Phone (781) 559-8444
Organizations & group practices 1
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.
-
- Clinical Neuropsychologist
- Needham, MA
- NPI 1407048432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1386494482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 MADISON AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 MADISON AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811949",
"telephone_number": "201-252-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWALD",
"first_name": "JAYNA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35SI00815200",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "PSY10000889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.