Vincent C Basile, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012704 Issued in NY

Practice address

12 Kensington Pass
Colts Neck, NJ 07722-1777

Phone

(732) 522-9210

NPI assigned

Sep 4, 2014

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haven Psychotherapy LLCGroup PAC ID 8820497936, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Haven Psychotherapy LLC

  • Clinical Psychologist
  • Lambertville, NJ
  • NPI 1871117499
  Medicare reassignment Care Compare group NPD
• Integrated Care Concepts & Consultation, LLC

  • Professional Counselor
  • Eatontown, NJ
  • NPI 1639236516

  Clinical

  Medicare reassignment NPD
• Meditelecare of New Jersey LLC

  • Clinical Psychologist
  • Ewing, NJ
  • NPI 1639750797
  Medicare reassignment 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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1477953883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KENSINGTON PASS",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221777",
            "telephone_number": "732-522-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KENSINGTON PASS",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221777",
            "telephone_number": "732-522-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "VINCENT",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra Hicks Autry, M.D.
• Sarah Azarchi, MD
• Catherine Baird, RDH
• Margarita Baldeo, MSW,LCSW
• Sersaray S Basarir Arslan, LMFT
• Jocelyn B Bautista, M.D.
• Beauitful Mind Counseling Center, LLC
• Caroll Belcher, BSN RN
• Nancy F Beliveau, PT, DPT
• Alexandra Bellisario

• Clinical Psychologist in Colts Neck, NJ
• Providers in Colts Neck, 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 Sep 4, 2014; 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.