Individual provider Active NPI

Jessica Ardis

  • Psychologist
  • Chatham, NJ
National Provider Identifier
1386554830
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00809700 Issued in NJ
Practice address
466 Southern Blvd
Chatham, NJ 07928-1462
Phone
(973) 370-9944
Fax
(973) 813-7065
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00809700 NJ Primary

Addresses

Primary practice location

466 Southern Blvd
Chatham, NJ 07928-1462

Mailing address

46 Tulane PL
Lincoln Park, NJ 07035-1308
Phone (201) 704-8158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1386554830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TULANE PL",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351308",
            "telephone_number": "201-704-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 SOUTHERN BLVD",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079281462",
            "telephone_number": "973-370-9944",
            "fax_number": "973-813-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00809700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.