Active NPI
Shashi Jain, PH.D.
- Psychologist
- Montville, NJ
National Provider Identifier
1629414180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00288100
- Practice address
- 9 Brittany Rd
Montville, NJ 07045-9549 - Phone
- (973) 575-9684
- Fax
- (973) 575-9684
- NPI assigned
- May 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00288100 | NJ | Primary |
Addresses
Primary practice location
9 Brittany Rd
Montville, NJ 07045-9549
Mailing address
9 Brittany Road
Montville, NJ 07045
Phone (973) 575-9684
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00288100 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1629414180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BRITTANY ROAD",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "07045",
"telephone_number": "973-575-9684",
"fax_number": "973-575-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BRITTANY RD",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070459549",
"telephone_number": "973-575-9684",
"fax_number": "973-575-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SHASHI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00288100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.