Active NPI
Sangeetha Nayak, PH.D.
- Clinical Psychologist
- Maplewood, NJ
National Provider Identifier
1538215728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SI00407700
- Practice address
- 111 Dunnell Rd
2ND Floor
Maplewood, NJ 07040-2622 - Phone
- (973) 486-0111
- NPI assigned
- Jan 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | SI00407700 | NJ | Primary |
Addresses
Primary practice location
111 Dunnell Rd
2ND Floor
Maplewood, NJ 07040-2622
Mailing address
93 Ridge Dr
Livingston, NJ 07039-3744
Phone (973) 994-4519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097476 | Other | NJ | MEDICARE PROVIDER NUMBER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060121000029 | NJ | Practitioner - Clinical Psychologist | 8527081454 | Practice locations: Morristown, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
310 Madison Ave
Suite 300
Morristown, NJ 07960-6967
Phone (973) 486-0111
93 Ridge Dr
Livingston, NJ 07039-3744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI00407700 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1538215728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 RIDGE DR",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393744",
"telephone_number": "973-994-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DUNNELL RD",
"address_2": "2ND FLOOR",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070402622",
"telephone_number": "973-486-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYAK",
"first_name": "SANGEETHA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI00407700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "097476",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.