Individual provider Active NPI

Rebecca Sears, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Long Branch, NJ
National Provider Identifier
1578008181
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
5595 Issued in NJ
Practice address
170 Morris Ave
Suite E
Long Branch, NJ 07740-8214
Phone
(732) 547-5832
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 5595 NJ Primary

Addresses

Primary practice location

170 Morris Ave
Suite E
Long Branch, NJ 07740-8214

Mailing address

1833 Celeste Dr
Wall Township, NJ 07719-9506
Phone (732) 547-5832

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
I20220811000210 NJ Practitioner - Clinical Psychologist 6103209986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCC Counseling IncGroup PAC ID 3870999493, 9 clinicians

Practice addresses (Care Compare)

1924 State Route 35
Suite 10a
Wall Township, NJ 07719-3555
Phone (732) 814-4648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5595NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
CCC Counseling Inc CurrentSince Jul 1, 2022 Accepting new patients
Congregation Torath Chaim Raintree PastSince Aug 20, 2020 Accepting new patients

Locations

1401 New Rd
Fl 2
Linwood, NJ 08221
Phone (609) 225-9355

1924 State Route 35
Ste 10A
Wall Township, NJ 07719
Phone (732) 481-4743

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1578008181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 CELESTE DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199506",
            "telephone_number": "732-547-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE",
            "address_2": "SUITE E",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408214",
            "telephone_number": "732-547-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "5595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.