Individual provider Active NPI

Lori Gail Kadish, PSY.D.

  • Psychologist
  • Scotch Plains, NJ
National Provider Identifier
1518143395
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2680 Issued in NJ
Practice address
2284 South Ave
Suite 2
Scotch Plains, NJ 07076-4697
Phone
(201) 264-6798
Fax
(908) 232-3601
NPI assigned
Jan 11, 2008
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2680 NJ Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 2680 NJ

Addresses

Primary practice location

2284 South Ave
Suite 2
Scotch Plains, NJ 07076-4697

Mailing address

2284 South Ave
Suite 2
Scotch Plains, NJ 07076-4697
Phone (201) 264-6798

Other names 1

  • Mrs. Lori Wirth Other name

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
I20111020000615 NJ Practitioner - Clinical Psychologist 7719028349 Practice locations: Scotch Plains, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2284 S Ave
Suite 2
Scotch Plains, NJ 07076-4697
Phone (201) 264-6798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2680NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1518143395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 SOUTH AVE",
            "address_2": "SUITE 2",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764697",
            "telephone_number": "201-264-6798",
            "fax_number": "908-232-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 SOUTH AVE",
            "address_2": "SUITE 2",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070764697",
            "telephone_number": "201-264-6798",
            "fax_number": "908-232-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADISH",
        "first_name": "LORI",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2680",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WIRTH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.