Individual provider Active NPI

Kenneth Foti, PSYD

  • Clinical Psychologist
  • Metuchen, NJ
National Provider Identifier
1619962677
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00235600 Issued in NJ
Practice address
195 Main St FL 2
Metuchen, NJ 08840-2774
Phone
(732) 324-4508
NPI assigned
Sep 15, 2005
Last updated
Sep 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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 35SI00235600 NJ Primary

Addresses

Primary practice location

195 Main St FL 2
Metuchen, NJ 08840-2774

Mailing address

195 Main St FL 2
Metuchen, NJ 08840-2774
Phone (732) 324-4508

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

State licenses

LicenseStateTypeSpecialty
35SI00235600NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Medical Services, LLC PastSince Sep 1, 2018 Accepting new patients
Nephrology Hypertension Renal Transplant & Renal Therapy, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_nhrtrt

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1619962677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MAIN ST FL 2",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402774",
            "telephone_number": "732-324-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MAIN ST FL 2",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402774",
            "telephone_number": "732-324-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTI",
        "first_name": "KENNETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00235600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.