Individual provider Active NPI

Jeffrey C Danco, PSYD DR OF PSYCH

  • Clinical Psychologist
  • Bound Brook, NJ
National Provider Identifier
1477655199
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI02078 Issued in NJ
Practice address
1952 RT 22 East
American Institute for Counseling Inc
Bound Brook, NJ 08805
Phone
(732) 469-6444
Fax
(732) 469-6445
NPI assigned
Sep 2, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X SI02078 NJ Primary

Addresses

Primary practice location

1952 RT 22 East
American Institute for Counseling Inc
Bound Brook, NJ 08805

Mailing address

1952 RT 22 East
American Institute for Counseling Inc
Bound Brook, NJ 08805
Phone (732) 469-6444

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
I20050426000688 NJ Practitioner - Clinical Psychologist 9537073812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

505 State Hwy 28
Bridgewater, NJ 08807-2493
Phone (732) 469-6444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI02078NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey C Danco PSYD Clinical CurrentSince Sep 25, 2024 Accepting new patients

Locations

505 State Route 28
Bridgewater, NJ 08807
Phone (732) 469-6444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1477655199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 RT 22 EAST",
            "address_2": "AMERICAN INSTITUTE FOR COUNSELING INC",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "08805",
            "telephone_number": "732-469-6444",
            "fax_number": "732-469-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 RT 22 EAST",
            "address_2": "AMERICAN INSTITUTE FOR COUNSELING INC",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "08805",
            "telephone_number": "732-469-6444",
            "fax_number": "732-469-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCO",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD DR OF PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI02078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

Verify at the official NPI Registry.