Active NPI
Ruth Mollod, PH.D.
- Psychologist
- Wayne, NJ
National Provider Identifier
1649360207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00184900
- Practice address
- 2025 Hamburg Tpke
Suite B-1
Wayne, NJ 07470-6260 - Phone
- (973) 838-4023
- NPI assigned
- Oct 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00184900 | NJ | Primary |
| Psychologist | 103T00000X | 010653-1 | NY |
Addresses
Primary practice location
2025 Hamburg Tpke
Suite B-1
Wayne, NJ 07470-6260
Mailing address
611 Mountain Rd
Kinnelon, NJ 07405-2128
Phone (973) 838-4023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051369 | Other | NJ | VALUE OPTIONS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000039 | NJ | Practitioner - Clinical Psychologist | 2860459682 | Practice locations: Wayne, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2025 Hamburg Tpke
B1
Wayne, NJ 07470-6250
Phone (973) 838-4023
2025 Hamburg Tpke
Suite B 1
Wayne, NJ 07470-6260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010653-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649360207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 MOUNTAIN RD",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052128",
"telephone_number": "973-838-4023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 HAMBURG TPKE",
"address_2": "SUITE B-1",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706260",
"telephone_number": "973-838-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLOD",
"first_name": "RUTH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00184900",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010653-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "051369",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.