Individual provider Active NPI

Loren B Amsell, PH.D.

  • Psychologist
  • Bridgewater, NJ
National Provider Identifier
1598980641
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005728L Issued in PA
Practice address
1200 US Highway 22
Suite 2000
Bridgewater, NJ 08807-2943
Phone
(908) 203-4614
Fax
(908) 200-7790
NPI assigned
Apr 16, 2007
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005728L PA Primary
Psychologist 103T00000X PS0005728L PA
Clinical Child & Adolescent Psychologist 103TC2200X 35S100374700 NJ
Forensic Psychologist 103TF0200X PS005728L PA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PS0005728L PA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PS00005728L PA

Addresses

Primary practice location

1200 US Highway 22
Suite 2000
Bridgewater, NJ 08807-2943

Mailing address

PO Box 541
Pittstown, NJ 08867-0541
Phone (908) 200-7791

Other identifiers 2

IdentifierTypeStateIssuer
0117838OtherNJBHS
8042705MedicaidNJ

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS0005728LPAMDPsychologist
PS005728LPAMDPsychologist
35S100374700NJMDClinical Child & Adolescent Psychologist
PS00005728LPAMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Assessment and Treatment Current Accepting new patients
Center for Psychological Assessment and Treatment Current Accepting new patients

Locations

1200 US Highway 22
Ste 2000
Bridgewater, NJ 08807
Phone (551) 239-8647

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1598980641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "PITTSTOWN",
            "state": "NJ",
            "postal_code": "088670541",
            "telephone_number": "908-200-7791",
            "fax_number": "908-200-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 US HIGHWAY 22",
            "address_2": "SUITE 2000",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072943",
            "telephone_number": "908-203-4614",
            "fax_number": "908-200-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSELL",
        "first_name": "LOREN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005728L",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS0005728L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "35S100374700",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS005728L",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "PS0005728L",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "PA",
            "license": "PS00005728L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHS",
            "identifier": "0117838",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8042705",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.