Jeannette M Devaris, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100254300 Issued in NJ

Practice address

189 Summit Ave
Summit, NJ 07901-2967

Phone

(908) 522-0800

Fax

(908) 517-9325

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1568481745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012967",
            "telephone_number": "908-522-0800",
            "fax_number": "908-517-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012967",
            "telephone_number": "908-522-0800",
            "fax_number": "908-517-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARIS",
        "first_name": "JEANNETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100254300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "117846",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Dernbach-Bitler, MS
• Jinal Desai
• Nicky Desai, M.D
• Nisha Raj Desai, MD
• John Warren Deschenes, D.D.S.
• Nihar Dhokai, MD
• Shruti P Dhorajia, D.O.
• Lisa C Diana, APN
• Ema Teresa Dias, LPC, LAAT
• Karen Diaz, RD

• Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.