Individual provider Active NPI

Antoinette Welsh, PH.D.

  • Clinical Neuropsychologist
  • Chester, NJ
National Provider Identifier
1417304536
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
35SI00565100 Issued in NJ
Practice address
201 Pleasant Hill Rd
Chester, NJ 07930-2141
Phone
(973) 252-6380
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 35SI00565100 NJ Primary

Addresses

Primary practice location

201 Pleasant Hill Rd
Chester, NJ 07930-2141

Mailing address

201 Pleasant Hill Rd
Chester, NJ 07930-2141
Phone (973) 252-6380

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
I20160826001368 NJ Practitioner - Clinical Psychologist 8628363892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43 Route 202
Suite 100a
Far Hills, NJ 07931-0213
Phone (908) 300-3993

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brainworks Neuropsychology Consultants, LLC Clinical Neuropsychologist CurrentSince Oct 22, 2018 Accepting new patients
Kessler Professional Services LLC CurrentSince Aug 15, 2016 Accepting new patients

Locations

201 Pleasant Hill Rd
Chester, NJ 07930
Phone (973) 252-6300

1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1417304536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PLEASANT HILL RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302141",
            "telephone_number": "973-252-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PLEASANT HILL RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302141",
            "telephone_number": "973-252-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "35SI00565100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

Verify at the official NPI Registry.