Individual provider Active NPI

Stephen David Chece, PHD

  • Psychologist
  • Middletown, NJ
National Provider Identifier
1629332358
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35S100419900 Issued in NJ
Practice address
18 Kings Hwy # 104
Middletown, NJ 07748-2509
Phone
(732) 829-4654
Fax
(732) 671-8704
NPI assigned
Jun 27, 2012
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012341-1 NY
Psychologist 103T00000X 35S100419900 NJ Primary

Addresses

Primary practice location

18 Kings Hwy # 104
Middletown, NJ 07748-2509

Mailing address

18 Kings Hwy # 104
Middletown, NJ 07748-2509
Phone (732) 829-4654

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
I20150217001083 NJ Practitioner - Clinical Psychologist 3375868227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chece Psychological LLCGroup PAC ID 6709191372, 2 clinicians

Practice addresses (Care Compare)

18 Kings Hwy
Suite 104
Middletown, NJ 07748-2523
Phone (732) 671-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35S100419900NJMDPsychologist
012341-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chece Psychological, LLC Psychologist CurrentSince Jul 10, 2015 Accepting new patients

Locations

107 Tindall Rd
Middletown, NJ 07748
Phone (732) 829-4642

18 Kings Hwy
Ste 104
Middletown, NJ 07748
Phone (732) 671-8700

Organizations & group practices 1

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1629332358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 KINGS HWY # 104",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482509",
            "telephone_number": "732-829-4654",
            "fax_number": "732-671-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KINGS HWY # 104",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482509",
            "telephone_number": "732-829-4654",
            "fax_number": "732-671-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECE",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-04-01",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012341-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100419900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.