Dorothy Chippendale, LMFT, LCADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37LC00185700 Issued in NJ

Practice address

501 Prospect St BLDG 1a
Lakewood, NJ 08701-5026

Phone

(732) 961-9666

Fax

(732) 961-1125

NPI assigned

Jan 6, 2020

Last updated

Jan 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Behavioral Care Services, LLC

  • Community/Behavioral Health Agency
  • South Toms River, NJ
  • NPI 1043354442
  Medicare reassignment NPD
• Advanced Behavioral Care Services, LLC

  • Community/Behavioral Health Agency
  • South Toms River, NJ
  • NPI 1659416790
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1659910750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ELM PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011916",
            "telephone_number": "732-670-8228",
            "fax_number": "732-961-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PROSPECT ST BLDG 1A",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015026",
            "telephone_number": "732-961-9666",
            "fax_number": "732-961-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPPENDALE",
        "first_name": "DOROTHY",
        "credential": "LMFT, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37LC00185700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "37LC00185700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chana Chayn
• Ella Cherney
• Nechama Cherney, MS OTR/L
• Heather Marie Chernosky, OTR/L
• Child Development Institute Inc
• Chit-Chat, Inc
• Tara Heidi Chizik, ST
• Paul K Cho, MD
• Golda Tzivia Chomsky, MSED, BCBA
• Miriam Chomsky

• Marriage & Family Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.

Verify at the official NPI Registry.