Justyna Dmowski, PSY.D, LCADC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00496500 Issued in NJ

Practice address

6 Wick Dr
Sayreville, NJ 08872-1268

Phone

(201) 725-2033

NPI assigned

May 14, 2012

Last updated

May 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.justyniadmowski@148376.advancedmd-direct.com

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.

• Embrace Insight LLC

  • Psychologist
  • East Brunswick, NJ
  • NPI 1205713989

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1508125451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WICK DR",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WICK DR",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721268",
            "telephone_number": "201-725-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DMOWSKI",
        "first_name": "JUSTYNA",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00162400",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00496500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Surgical Supply of Toms River Inc (Community Surgical Infusion Sayreville)
• Community Surgical Supply of Toms River LLC (Community Surgical Infusion-Sayreville)
• Community Surgical Supply of Toms River, LLC
• Kerry Conlon, RDN
• Dental City
• Josephine Dobbs
• Drug Fair Group, Inc. (Drug Fair of Sayreville 52)
• Eyandy Phlebotomy Services
• Lauren Teresa Firetto-Salkins, DMD
• Flexfit Physical Therapy, LLC

• Clinical Psychologist in Sayreville, NJ
• Providers in Sayreville, 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 May 14, 2012; 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.