John J Hennessy, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100203400 Issued in NJ

Practice address

4 Swimming River Rd
Suite 1 a
Lincroft, NJ 07738-1727

Phone

(732) 747-0786

Fax

(732) 244-8793

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Fordham University School of Medicine, 1983

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578764510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SWIMMING RIVER RD",
            "address_2": "SUITE 1 A",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381727",
            "telephone_number": "732-747-0786",
            "fax_number": "732-244-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SWIMMING RIVER RD",
            "address_2": "SUITE 1 A",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381727",
            "telephone_number": "732-747-0786",
            "fax_number": "732-244-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100203400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Generelli, MD
• Michelle Graceffo, L.A.C
• Sygal Harpaz, DDS
• Erin Hayes, FNP-BC
• Jill N. Hendricks, SLP
• David M Herman, DMD
• Holmdel Anesthesiology PC
• Adel Ibrahim, MD
• Stephen Jospeh Jaeger Jr., MD
• Shari Kent, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.