Lydia Zarrella-Timmerman, PSY.D.
Individual provider Active NPI Clinical Psychologist · Farmingdale, NJ
NPI 1629522016 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1629522016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 35SI00566100 (NJ)
- Practice address
- 43 Main St
Farmingdale, NJ 07727-1340 - Phone
- (848) 218-1601
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Solace Therapy and Evaluation, LLC
Practice addresses (Care Compare)
3350 Hwy 138
Suite 128
Wall Township, NJ 07719-9694
Phone (848) 218-1601
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161019000552 | NJ | Practitioner - Clinical Psychologist | 8426346735 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00566100 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Therapy and Evaluation, LLC | Clinical | Current |
Accepting new patients |
Locations
525 Route 70
Ste A3
Lakewood, NJ 08701
Phone (732) 364-0040
3350 State Route 138
Ste 128
Wall Township, NJ 07719
Phone (732) 280-2727
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00566100 | NJ | Yes |
Addresses
Primary practice location
43 Main St
Farmingdale, NJ 07727-1340
Mailing address
43 Main St
Farmingdale, NJ 07727-1340
Phone (848) 218-1601
Other providers in Farmingdale, NJ
- Catherine Warcola
- YMCA of the Jersey Shore
- YMCA of the Jersey Shore
- Youth Consultation Service Inc
- Youth Consultation Service Inc.
All providers in Farmingdale, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.