Individual provider Active NPI

Janice M. Peters, PH.D.

  • Psychologist
  • Pompton Lakes, NJ
National Provider Identifier
1598800583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4371 Issued in NJ
Practice address
227 Hamburg Tpke
Second Floor
Pompton Lakes, NJ 07442-1847
Phone
(973) 981-8599
Fax
(973) 907-7734
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4371 NJ Primary

Addresses

Primary practice location

227 Hamburg Tpke
Second Floor
Pompton Lakes, NJ 07442-1847

Mailing address

227 Hamburg Tpke
Second Floor
Pompton Lakes, NJ 07442-1847
Phone (973) 981-8599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4371NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598800583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HAMBURG TPKE",
            "address_2": "SECOND FLOOR",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421847",
            "telephone_number": "973-981-8599",
            "fax_number": "973-907-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HAMBURG TPKE",
            "address_2": "SECOND FLOOR",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421847",
            "telephone_number": "973-981-8599",
            "fax_number": "973-907-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JANICE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.