Individual provider Active NPI

Jamie Lynn Nauheim, PH. D., P.C.

  • Clinical Psychologist
  • Riverhead, NY
National Provider Identifier
1598820227
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007062 Issued in NY
Practice address
223 Roanoke Ave
Riverhead, NY 11901-2778
Phone
(631) 727-8270
Fax
(631) 369-9423
NPI assigned
Dec 22, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 007062 NY Primary

Addresses

Primary practice location

223 Roanoke Ave
Riverhead, NY 11901-2778

Mailing address

223 Roanoke Ave
Riverhead, NY 11901-2778
Phone (631) 727-8270

Other identifiers 2

IdentifierTypeStateIssuer
V3085OtherNYWELL CHOICE PROVIDER #
081842OtherNYVALUE OPTIONS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080624000714 NY Practitioner - Clinical Psychologist 9234200932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

223 Roanoke Ave
Riverhead, NY 11901-2778
Phone (631) 727-8270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007062NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie L Nauheim PHD Clinical Psych PC Clinical CurrentSince Oct 3, 2005 Accepting new patients
John R. Klindienst PH. D. Clinical Psychologist P.C. Clinical Current Accepting new patients

Locations

223 Roanoke Ave
Riverhead, NY 11901
Phone (631) 727-1563

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1598820227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012778",
            "telephone_number": "631-727-8270",
            "fax_number": "631-369-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012778",
            "telephone_number": "631-727-8270",
            "fax_number": "631-369-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUHEIM",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH. D., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CHOICE PROVIDER #",
            "identifier": "V3085",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "081842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.