Individual provider Active NPI

Lauren Picciano, PSY.D.

  • Psychologist
  • Somerset, NJ
National Provider Identifier
1629194659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00405100 Issued in NJ
Practice address
31 Clyde Rd
Suite 201
Somerset, NJ 08873-5047
Phone
(732) 568-0050
Fax
(732) 339-9138
NPI assigned
Mar 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 35SI00405100 NJ Primary

Addresses

Primary practice location

31 Clyde Rd
Suite 201
Somerset, NJ 08873-5047

Mailing address

31 Clyde Rd
Suite 201
Somerset, NJ 08873-5047
Phone (732) 568-0050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150828000921 NJ Practitioner - Clinical Psychologist 9830405323 Practice locations: Highland Park, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 N 2ND Ave
1St Floor
Highland Park, NJ 08904-2418
Phone (732) 628-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629194659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CLYDE RD",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735047",
            "telephone_number": "732-568-0050",
            "fax_number": "732-339-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CLYDE RD",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735047",
            "telephone_number": "732-568-0050",
            "fax_number": "732-339-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIANO",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00405100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.