Individual provider Active NPI

David A. Riley, PH.D

  • Clinical Psychologist
  • Shrewsbury, NJ
National Provider Identifier
1508925421
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1691 Issued in NJ
Practice address
Crossroads Psychological Associates
170 Ave. at the Common, Suite 8 a
Shrewsbury, NJ 07702-4595
Phone
(732) 542-8043
Fax
(732) 389-2252
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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 1691 NJ Primary

Addresses

Primary practice location

Crossroads Psychological Associates
170 Ave. at the Common, Suite 8 a
Shrewsbury, NJ 07702-4595

Mailing address

Crossroads Psychological Associates
170 Ave. at the Common, Suite 8 a
Shrewsbury, NJ 07702-4595
Phone (732) 542-8043

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
I20101220000379 NJ Practitioner - Clinical Psychologist 8820286735 Receives reassigned benefits from 2 practitioners
Practice locations: Shrewsbury, NJ; Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

665 Commons Way
Crossroads Psychological Associates
Toms River, NJ 08755-6431
Phone (732) 542-8043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1691NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Psychological Associates Clinical CurrentSince Jan 1, 1989 Accepting new patients

Locations

59 Avenue At the Cmn
Ste 206
Shrewsbury, NJ 07702
Phone (732) 542-8043

170 Avenue At the Cmn
Ste 8A
Shrewsbury, NJ 07702
Phone (732) 542-8043

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1508925421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CROSSROADS PSYCHOLOGICAL ASSOCIATES",
            "address_2": "170 AVE. AT THE COMMON, SUITE 8 A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024595",
            "telephone_number": "732-542-8043",
            "fax_number": "732-389-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROSSROADS PSYCHOLOGICAL ASSOCIATES",
            "address_2": "170 AVE. AT THE COMMON, SUITE 8 A",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024595",
            "telephone_number": "732-542-8043",
            "fax_number": "732-389-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.